Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.92 / $29.29 / $91.24	Facility	26	$15.92	$29.29	$91.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $133.41 / $343.06	Professional		$114.20	$133.41	$343.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.36 / $159.94 / $240.22	Professional		$122.36	$159.94	$240.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.20 / $142.11 / $246.33	Professional		$85.20	$142.11	$246.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.89 / $104.64 / $265.44	Professional		$65.89	$104.64	$265.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $155.01 / $189.96	Professional		$129.16	$155.01	$189.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.68 / $26.79 / $31.89	Professional	26	$21.68	$26.79	$31.89
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $26.13 / $32.72 / $64.09	Facility	26	$26.13	$32.72	$64.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $32.95 / $207.35	Professional		$22.00	$32.95	$207.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $89.12 / $269.27	Professional		$26.51	$89.12	$269.27
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $129.21 / $538.38	Professional		$65.84	$129.21	$538.38