Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $155.65 / $267.22	Facility	26	$118.59	$155.65	$267.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.05 / $425.00 / $635.02	Professional		$328.05	$425.00	$635.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.39 / $402.04 / $664.69	Professional		$314.39	$402.04	$664.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $564.55 / $578.86 / $1,859.04	Professional		$564.55	$578.86	$1,859.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.36 / $621.02 / $984.80	Professional		$315.36	$621.02	$984.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.64 / $387.17 / $474.48	Professional		$322.64	$387.17	$474.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $68.66 / $84.82 / $102.70	Professional	26	$68.66	$84.82	$102.70
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $106.00 / $117.02 / $240.13	Facility	26	$106.00	$117.02	$240.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.16 / $494.00 / $856.00	Professional		$106.16	$494.00	$856.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $108.59 / $536.78 / $890.53	Professional		$108.59	$536.78	$890.53
United Facility/Professional Professional Modifier Low / Median / High Price $314.30 / $511.92 / $845.32	Professional		$314.30	$511.92	$845.32