Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.03 / $201.60 / $380.84	Facility	26	$126.03	$201.60	$380.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.05 / $428.05 / $600.25	Professional		$289.05	$428.05	$600.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.68 / $337.19 / $545.28	Professional		$263.68	$337.19	$545.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $445.36 / $448.20 / $873.99	Professional		$445.36	$448.20	$873.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.74 / $515.94 / $833.97	Professional		$258.74	$515.94	$833.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.16 / $322.18 / $397.35	Professional		$267.16	$322.18	$397.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $98.71 / $121.94 / $146.88	Professional	26	$98.71	$121.94	$146.88
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $172.53 / $194.29 / $361.20	Facility	26	$172.53	$194.29	$361.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $353.00 / $675.67	Professional		$147.00	$353.00	$675.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $142.06 / $415.19 / $714.09	Professional		$142.06	$415.19	$714.09
United Facility/Professional Professional Modifier Low / Median / High Price $258.14 / $419.50 / $776.15	Professional		$258.14	$419.50	$776.15