Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.76 / $40.18 / $93.51	Facility	26	$25.76	$40.18	$93.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $118.47 / $165.25	Professional		$92.00	$118.47	$165.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $150.97 / $221.02	Professional		$96.07	$150.97	$221.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $127.64 / $144.22 / $281.25	Professional		$127.64	$144.22	$281.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.72 / $30.72 / $30.72	Facility	26	$30.72	$30.72	$30.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.85 / $134.91 / $273.82	Professional		$93.85	$134.91	$273.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.76 / $152.11 / $186.41	Professional		$126.76	$152.11	$186.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.51 / $30.28 / $36.54	Professional	26	$24.51	$30.28	$36.54
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $39.45 / $45.00 / $82.69	Facility	26	$39.45	$45.00	$82.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $114.00 / $198.00	Professional		$36.49	$114.00	$198.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $132.05 / $262.95	Professional		$37.58	$132.05	$262.95
United Facility/Professional Professional Modifier Low / Median / High Price $86.13 / $136.29 / $256.95	Professional		$86.13	$136.29	$256.95