Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.49 / $85.79 / $204.67	Facility	26	$47.49	$85.79	$204.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $121.59 / $278.56	Professional		$105.52	$121.59	$278.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $147.77 / $244.30	Professional		$115.34	$147.77	$244.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.94 / $167.04 / $1,707.94	Professional		$163.94	$167.04	$1,707.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.73 / $60.73 / $60.73	Facility	26	$60.73	$60.73	$60.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $207.72 / $648.88	Professional		$101.26	$207.72	$648.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $144.49 / $178.21	Professional		$119.90	$144.49	$178.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $48.14 / $59.47 / $71.23	Professional	26	$48.14	$59.47	$71.23
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $76.00 / $84.57 / $173.13	Facility	26	$76.00	$84.57	$173.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $149.00 / $349.00	Professional		$73.37	$149.00	$349.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $186.26 / $613.21	Professional		$75.78	$186.26	$613.21
United Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $194.56 / $590.98	Professional		$112.31	$194.56	$590.98