Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.59 / $161.00 / $339.74	Facility	26	$93.59	$161.00	$339.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.40 / $225.96 / $307.81	Professional		$177.40	$225.96	$307.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.85 / $285.86 / $411.79	Professional		$201.85	$285.86	$411.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $242.81 / $269.79 / $542.28	Professional		$242.81	$269.79	$542.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.41 / $113.41 / $113.41	Facility	26	$113.41	$113.41	$113.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.96 / $259.43 / $536.74	Professional		$187.96	$259.43	$536.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.31 / $306.02 / $367.50	Professional		$248.31	$306.02	$367.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $95.92 / $115.10 / $160.16	Professional	26	$95.92	$115.10	$160.16
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $132.00 / $143.69 / $243.30	Facility	26	$132.00	$143.69	$243.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $201.00 / $368.00	Professional		$129.00	$201.00	$368.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.07 / $247.61 / $465.96	Professional		$117.07	$247.61	$465.96
United Facility/Professional Professional Modifier Low / Median / High Price $168.92 / $236.90 / $381.47	Professional		$168.92	$236.90	$381.47