Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.97 / $36.90 / $85.99	Facility	26	$19.97	$36.90	$85.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.91 / $177.86 / $381.00	Professional		$170.91	$177.86	$381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.91 / $252.24 / $354.17	Professional		$190.91	$252.24	$354.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $248.04 / $299.69 / $383.65	Professional		$248.04	$299.69	$383.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $211.41 / $486.34	Professional		$120.94	$211.41	$486.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.90 / $254.61 / $318.26	Professional		$211.90	$254.61	$318.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.07 / $25.28 / $31.18	Professional	26	$21.07	$25.28	$31.18
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $37.78 / $40.81 / $57.35	Facility	26	$37.78	$40.81	$57.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $203.00 / $369.00	Professional		$30.00	$203.00	$369.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $202.34 / $511.05	Professional		$29.05	$202.34	$511.05
United Facility/Professional Professional Modifier Low / Median / High Price $116.24 / $201.05 / $334.70	Professional		$116.24	$201.05	$334.70