Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $120.23 / $316.23	Facility	26	$45.71	$120.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $263.03	Professional		$104.71	$128.82	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $263.03	Professional		$123.03	$169.82	$263.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $338.84	Professional		$72.44	$131.83	$338.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $77.62 / $112.20	Facility	26	$16.60	$77.62	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $275.42	Professional		$102.33	$165.96	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $194.98	Professional		$128.82	$158.49	$194.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $77.62 / $97.72	Professional	26	$61.66	$77.62	$97.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $309.03	Professional		$144.54	$181.97	$309.03
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $93.33 / $147.91	Professional	26	$74.13	$93.33	$147.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $218.78	Professional		$138.04	$138.04	$218.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $138.04 / $295.12	Professional		$60.26	$138.04	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $257.04	Professional		$100.00	$147.91	$257.04