Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.84 / $85.68 / $200.39	Facility	26	$46.84	$85.68	$200.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.64 / $113.99 / $223.42	Professional		$100.64	$113.99	$223.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.26 / $142.27 / $237.50	Professional		$110.26	$142.27	$237.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $156.90 / $164.06 / $1,709.13	Professional		$156.90	$164.06	$1,709.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.76 / $60.76 / $60.76	Facility	26	$60.76	$60.76	$60.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.52 / $200.04 / $649.09	Professional		$96.52	$200.04	$649.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $137.44 / $169.50	Professional		$113.99	$137.44	$169.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.47 / $58.64 / $70.26	Professional	26	$47.47	$58.64	$70.26
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $84.17 / $95.00 / $191.24	Facility	26	$84.17	$95.00	$191.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.38 / $144.96 / $354.00	Professional		$72.38	$144.96	$354.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $182.11 / $613.21	Professional		$74.94	$182.11	$613.21
United Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $195.39 / $634.11	Professional		$105.05	$195.39	$634.11