Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $77.62 / $275.42	Facility	26	$38.90	$77.62	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $213.80	Professional		$79.43	$109.65	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $234.42	Professional		$102.33	$147.91	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $154.88 / $724.44	Professional		$56.23	$154.88	$724.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $48.98 / $70.79	Facility	26	$10.47	$48.98	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $302.00	Professional		$89.13	$165.96	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $165.96	Professional		$109.65	$131.83	$165.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $48.98 / $63.10	Professional	26	$39.81	$48.98	$63.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $363.08	Professional		$251.19	$354.81	$363.08
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $79.43 / $93.33	Professional	26	$63.10	$79.43	$93.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $186.21	Professional		$112.20	$112.20	$186.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $141.25 / $354.81	Professional		$53.70	$141.25	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $288.40	Professional		$89.13	$147.91	$288.40