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 $270.17 / $425.00 / $600.00	Professional		$270.17	$425.00	$600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.55 / $319.12 / $527.60	Professional		$249.55	$319.12	$527.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $462.36 / $473.60 / $1,857.85	Professional		$462.36	$473.60	$1,857.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.60 / $87.60 / $87.60	Facility	26	$87.60	$87.60	$87.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.16 / $568.64 / $917.94	Professional		$247.16	$568.64	$917.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.78 / $306.94 / $376.69	Professional		$255.78	$306.94	$376.69
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 $115.50 / $133.00 / $239.13	Facility	26	$115.50	$133.00	$239.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.16 / $467.00 / $862.00	Professional		$106.16	$467.00	$862.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $108.18 / $477.42 / $831.77	Professional		$108.18	$477.42	$831.77
United Facility/Professional Professional Modifier Low / Median / High Price $245.63 / $437.55 / $845.32	Professional		$245.63	$437.55	$845.32