Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.74 / $85.73 / $189.15	Facility	26	$46.74	$85.73	$189.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.41 / $124.71 / $239.68	Professional		$107.41	$124.71	$239.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.25 / $149.66 / $218.66	Professional		$120.25	$149.66	$218.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $162.97 / $335.33	Professional		$162.41	$162.97	$335.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.58 / $78.58 / $78.58	Facility	26	$78.58	$78.58	$78.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.15 / $168.10 / $274.47	Professional		$103.15	$168.10	$274.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.86 / $151.80 / $187.06	Professional		$124.86	$151.80	$187.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $61.28 / $75.69 / $90.30	Professional	26	$61.28	$75.69	$90.30
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $76.52 / $88.00 / $163.32	Facility	26	$76.52	$88.00	$163.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $135.00 / $233.00	Professional		$70.00	$135.00	$233.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $68.79 / $155.10 / $258.01	Professional		$68.79	$155.10	$258.01
United Facility/Professional Professional Modifier Low / Median / High Price $101.51 / $152.82 / $256.77	Professional		$101.51	$152.82	$256.77