Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.36 / $44.22 / $107.96	Facility	26	$24.36	$44.22	$107.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $115.74 / $142.63	Professional		$92.42	$115.74	$142.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.38 / $143.36 / $209.55	Professional		$99.38	$143.36	$209.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.36 / $140.93 / $336.95	Professional		$122.36	$140.93	$336.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.07 / $31.07 / $31.07	Facility	26	$31.07	$31.07	$31.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $139.32 / $267.68	Professional		$98.53	$139.32	$267.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.22 / $144.26 / $176.79	Professional		$120.22	$144.26	$176.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.52 / $30.29 / $36.54	Professional	26	$24.52	$30.29	$36.54
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $36.00 / $39.45 / $79.66	Facility	26	$36.00	$39.45	$79.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $112.00 / $189.00	Professional		$37.01	$112.00	$189.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $130.58 / $264.86	Professional		$37.58	$130.58	$264.86
United Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $143.31 / $233.80	Professional		$90.97	$143.31	$233.80