Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.76 / $85.08 / $186.07	Facility	26	$50.76	$85.08	$186.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.35 / $120.95 / $227.63	Professional		$100.35	$120.95	$227.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.40 / $139.91 / $231.31	Professional		$109.40	$139.91	$231.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $152.76 / $161.66 / $1,706.51	Professional		$152.76	$161.66	$1,706.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.14 / $61.14 / $61.14	Facility	26	$61.14	$61.14	$61.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.09 / $197.34 / $647.74	Professional		$94.09	$197.34	$647.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $133.99 / $165.26	Professional		$111.04	$133.99	$165.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.46 / $58.63 / $71.27	Professional	26	$47.46	$58.63	$71.27
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $80.72 / $94.00 / $165.81	Facility	26	$80.72	$94.00	$165.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $143.03 / $339.00	Professional		$73.06	$143.03	$339.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $73.69 / $182.77 / $631.50	Professional		$73.69	$182.77	$631.50
United Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $196.70 / $632.79	Professional		$105.52	$196.70	$632.79