Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.14 / $28.74 / $51.24	Facility	26	$16.14	$28.74	$51.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $85.73 / $151.01	Professional		$71.84	$85.73	$151.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $104.90 / $153.34	Professional		$71.90	$104.90	$153.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $101.81 / $216.37	Professional		$87.30	$101.81	$216.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.81 / $20.81 / $20.81	Facility	26	$20.81	$20.81	$20.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $97.09 / $192.85	Professional		$68.78	$97.09	$192.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.39 / $104.87 / $128.51	Professional		$87.39	$104.87	$128.51
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.28 / $20.11 / $24.23	Professional	26	$16.28	$20.11	$24.23
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $27.17 / $32.00 / $55.93	Facility	26	$27.17	$32.00	$55.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $84.00 / $140.00	Professional		$25.00	$84.00	$140.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $92.13 / $193.75	Professional		$25.70	$92.13	$193.75
United Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $100.84 / $164.57	Professional		$68.31	$100.84	$164.57