Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $41.69 / $107.15	Facility	26	$15.14	$41.69	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $346.74	Professional		$100.00	$138.04	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $269.15	Professional		$125.89	$181.97	$269.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $151.36 / $239.88	Professional		$22.91	$151.36	$239.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $27.54 / $39.81	Facility	26	$5.89	$27.54	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $257.04	Professional		$63.10	$104.71	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $199.53	Professional		$131.83	$158.49	$199.53
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $26.92 / $34.67	Professional	26	$21.88	$26.92	$34.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $309.03	Professional		$87.10	$109.65	$309.03
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $32.36 / $51.29	Professional	26	$25.70	$32.36	$51.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $223.87	Professional		$50.12	$50.12	$223.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $85.11 / $316.23	Professional		$23.44	$85.11	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $125.89 / $302.00	Professional		$63.10	$125.89	$302.00