Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.52 / $191.05 / $455.87	Facility	26	$105.52	$191.05	$455.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.58 / $290.17 / $382.59	Professional		$260.58	$290.17	$382.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.87 / $537.30 / $783.65	Professional		$380.87	$537.30	$783.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $579.38 / $670.10 / $1,099.14	Professional		$579.38	$670.10	$1,099.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.43 / $135.43 / $135.43	Facility	26	$135.43	$135.43	$135.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.26 / $651.23 / $1,195.77	Professional		$404.26	$651.23	$1,195.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $451.09 / $541.29 / $663.36	Professional		$451.09	$541.29	$663.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $106.65 / $131.74 / $158.28	Professional	26	$106.65	$131.74	$158.28
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $171.86 / $173.36 / $367.10	Facility	26	$171.86	$173.36	$367.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $522.00 / $900.00	Professional		$159.00	$522.00	$900.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $419.87 / $714.83	Professional		$154.47	$419.87	$714.83
United Facility/Professional Professional Modifier Low / Median / High Price $378.84 / $575.49 / $961.85	Professional		$378.84	$575.49	$961.85