Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.71 / $36.90 / $86.41	Facility	26	$20.71	$36.90	$86.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $79.30 / $107.27	Professional		$67.91	$79.30	$107.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $93.41 / $133.69	Professional		$71.20	$93.41	$133.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $107.60 / $189.25	Professional		$102.96	$107.60	$189.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.82 / $25.82 / $25.82	Facility	26	$25.82	$25.82	$25.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.17 / $102.79 / $179.79	Professional		$60.17	$102.79	$179.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.87 / $93.44 / $114.51	Professional		$77.87	$93.44	$114.51
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.52 / $25.35 / $31.07	Professional	26	$20.52	$25.35	$31.07
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $31.00 / $33.93 / $69.30	Facility	26	$31.00	$33.93	$69.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $98.00 / $166.00	Professional		$31.00	$98.00	$166.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $102.14 / $170.90	Professional		$31.14	$102.14	$170.90
United Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $95.58 / $178.19	Professional		$60.97	$95.58	$178.19