Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.85 / $83.99 / $202.01	Facility	26	$46.85	$83.99	$202.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.28 / $116.54 / $222.63	Professional		$95.28	$116.54	$222.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.10 / $134.41 / $224.38	Professional		$105.10	$134.41	$224.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.36 / $154.26 / $1,707.41	Professional		$147.36	$154.26	$1,707.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.80 / $60.80 / $60.80	Facility	26	$60.80	$60.80	$60.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $195.29 / $648.42	Professional		$92.42	$195.29	$648.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.75 / $130.00 / $160.33	Professional		$107.75	$130.00	$160.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.78 / $59.02 / $70.28	Professional	26	$47.78	$59.02	$70.28
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $81.47 / $95.00 / $167.62	Facility	26	$81.47	$95.00	$167.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.15 / $137.72 / $338.00	Professional		$72.15	$137.72	$338.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $175.22 / $614.25	Professional		$73.70	$175.22	$614.25
United Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $179.35 / $633.46	Professional		$101.54	$179.35	$633.46