Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.58 / $70.70 / $167.64	Facility	26	$39.58	$70.70	$167.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $101.84 / $130.69	Professional		$78.34	$101.84	$130.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.01 / $132.05 / $198.25	Professional		$101.01	$132.05	$198.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.37 / $155.02 / $712.12	Professional		$141.37	$155.02	$712.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.75 / $49.75 / $49.75	Facility	26	$49.75	$49.75	$49.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.84 / $165.10 / $309.05	Professional		$88.84	$165.10	$309.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $127.30 / $157.00	Professional		$105.71	$127.30	$157.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.86 / $48.02 / $59.36	Professional	26	$38.86	$48.02	$59.36
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $65.27 / $75.00 / $134.58	Facility	26	$65.27	$75.00	$134.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $121.00 / $239.00	Professional		$61.00	$121.00	$239.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $156.59 / $274.45	Professional		$59.03	$156.59	$274.45
United Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $146.38 / $313.20	Professional		$89.93	$146.38	$313.20