Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.65 / $226.00 / $481.60	Facility	26	$155.65	$226.00	$481.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.96 / $494.18 / $844.00	Professional		$378.96	$494.18	$844.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.67 / $513.65 / $801.20	Professional		$401.67	$513.65	$801.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $697.38 / $711.75 / $1,541.38	Professional		$697.38	$711.75	$1,541.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $159.58 / $159.58 / $159.58	Facility	26	$159.58	$159.58	$159.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.22 / $816.61 / $1,325.76	Professional		$396.22	$816.61	$1,325.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.29 / $488.74 / $602.49	Professional		$407.29	$488.74	$602.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $125.12 / $154.56 / $184.19	Professional	26	$125.12	$154.56	$184.19
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $226.20 / $257.91 / $439.96	Facility	26	$226.20	$257.91	$439.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $593.39 / $1,118.00	Professional		$189.00	$593.39	$1,118.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $184.07 / $638.70 / $1,055.20	Professional		$184.07	$638.70	$1,055.20
United Facility/Professional Professional Modifier Low / Median / High Price $401.02 / $660.37 / $1,205.90	Professional		$401.02	$660.37	$1,205.90