Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.53 / $57.54 / $105.31	Facility	26	$31.53	$57.54	$105.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $91.60 / $173.94	Professional		$80.83	$91.60	$173.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.98 / $109.42 / $154.15	Professional		$85.98	$109.42	$154.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.87 / $122.27 / $249.43	Professional		$119.87	$122.27	$249.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.40 / $43.40 / $43.40	Facility	26	$43.40	$43.40	$43.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $126.42 / $220.73	Professional		$81.31	$126.42	$220.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $110.72 / $175.52	Professional		$90.11	$110.72	$175.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.76 / $42.91 / $59.28	Professional	26	$35.76	$42.91	$59.28
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $52.43 / $59.00 / $90.23	Facility	26	$52.43	$59.00	$90.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $104.00 / $178.00	Professional		$46.00	$104.00	$178.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $126.89 / $190.34	Professional		$47.68	$126.89	$190.34
United Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $107.18 / $178.43	Professional		$79.09	$107.18	$178.43