Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $97.72 / $354.81	Facility	26	$47.86	$97.72	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $281.84	Professional		$107.15	$131.83	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $199.53	Professional		$107.15	$141.25	$199.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $138.04 / $660.69	Professional		$64.57	$138.04	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $295.12	Professional		$89.13	$158.49	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $354.81	Professional		$109.65	$138.04	$354.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $64.57 / $162.18	Professional	26	$53.70	$64.57	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $288.40	Professional		$234.42	$257.04	$288.40
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $104.71 / $120.23	Professional	26	$83.18	$104.71	$120.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $141.25 / $309.03	Professional		$66.07	$141.25	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $275.42	Professional		$97.72	$147.91	$275.42