Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.49 / $40.20 / $89.18	Facility	26	$24.49	$40.20	$89.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.51 / $100.07 / $206.51	Professional		$86.51	$100.07	$206.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.12 / $123.80 / $204.67	Professional		$96.12	$123.80	$204.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $137.15 / $1,620.13	Professional		$132.13	$137.15	$1,620.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.00 / $29.00 / $29.00	Facility	26	$29.00	$29.00	$29.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.79 / $173.53 / $610.27	Professional		$84.79	$173.53	$610.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.52 / $121.83 / $149.30	Professional		$101.52	$121.83	$149.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.55 / $27.86 / $33.15	Professional	26	$22.55	$27.86	$33.15
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $36.00 / $38.27 / $79.83	Facility	26	$36.00	$38.27	$79.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $146.00 / $318.00	Professional		$34.21	$146.00	$318.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $157.46 / $603.33	Professional		$36.10	$157.46	$603.33
United Facility/Professional Professional Modifier Low / Median / High Price $92.98 / $167.98 / $540.04	Professional		$92.98	$167.98	$540.04