Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $29.51 / $72.44	Facility	26	$16.22	$29.51	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $204.17	Professional		$72.44	$100.00	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $186.21	Professional		$81.28	$117.49	$186.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $239.88	Professional		$60.26	$102.33	$239.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.47 / $20.42 / $29.51	Facility	26	$4.47	$20.42	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $186.21	Professional		$67.61	$97.72	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $141.25	Professional		$89.13	$107.15	$141.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $20.42 / $25.70	Professional	26	$16.22	$20.42	$25.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $213.80	Professional		$89.13	$112.20	$213.80
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $33.88 / $39.81	Professional	26	$26.92	$33.88	$39.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $158.49	Professional		$100.00	$100.00	$158.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $89.13 / $229.09	Professional		$23.44	$89.13	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $169.82	Professional		$60.26	$91.20	$169.82