Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $87.10 / $338.84	Facility	26	$45.71	$87.10	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $371.54	Professional		$114.82	$147.91	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $323.59	Professional		$138.04	$194.98	$323.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $173.78 / $1,995.26	Professional		$83.18	$173.78	$1,995.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $83.18	Facility	26	$12.59	$58.88	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $239.88 / $630.96	Professional		$114.82	$239.88	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $208.93	Professional		$138.04	$169.82	$208.93
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $57.54 / $72.44	Professional	26	$45.71	$57.54	$72.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $831.76 / $851.14	Professional		$316.23	$831.76	$851.14
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $102.33 / $112.20	Professional	26	$81.28	$102.33	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $660.69	Professional		$229.09	$229.09	$660.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $194.98 / $645.65	Professional		$66.07	$194.98	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $602.56	Professional		$123.03	$218.78	$602.56