Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.60 / $82.20 / $181.32	Facility	26	$49.60	$82.20	$181.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.86 / $138.72 / $266.63	Professional		$117.86	$138.72	$266.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.61 / $168.99 / $279.39	Professional		$130.61	$168.99	$279.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.63 / $189.99 / $1,707.66	Professional		$188.63	$189.99	$1,707.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.33 / $59.33 / $59.33	Facility	26	$59.33	$59.33	$59.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $230.73 / $648.19	Professional		$115.77	$230.73	$648.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.61 / $165.20 / $203.75	Professional		$137.61	$165.20	$203.75
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.86 / $56.65 / $69.26	Professional	26	$45.86	$56.65	$69.26
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $82.46 / $94.00 / $172.50	Facility	26	$82.46	$94.00	$172.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $175.00 / $388.00	Professional		$71.53	$175.00	$388.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $76.03 / $207.38 / $631.50	Professional		$76.03	$207.38	$631.50
United Facility/Professional Professional Modifier Low / Median / High Price $126.29 / $220.48 / $633.23	Professional		$126.29	$220.48	$633.23