Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $43.65 / $173.78	Facility	26	$23.99	$43.65	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $213.80	Professional		$91.20	$128.82	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $263.03	Professional		$107.15	$169.82	$263.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $147.91 / $302.00	Professional		$69.18	$147.91	$302.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $30.90 / $43.65	Facility	26	$6.61	$30.90	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $269.15	Professional		$93.33	$134.90	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $199.53	Professional		$131.83	$158.49	$199.53
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $30.90 / $38.90	Professional	26	$25.12	$30.90	$38.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $302.00	Professional		$114.82	$141.25	$302.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $46.77 / $58.88	Professional	26	$38.02	$46.77	$58.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $223.87	Professional		$95.50	$95.50	$223.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $123.03 / $295.12	Professional		$34.67	$123.03	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $229.09	Professional		$83.18	$128.82	$229.09