Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.91 / $89.11 / $213.58	Facility	26	$48.91	$89.11	$213.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $121.88 / $275.00	Professional		$106.18	$121.88	$275.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.49 / $124.97 / $180.02	Professional		$93.49	$124.97	$180.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $208.30 / $692.52	Professional		$134.38	$208.30	$692.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $169.68 / $295.89	Professional		$88.28	$169.68	$295.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $126.92 / $156.54	Professional		$105.77	$126.92	$156.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $52.37 / $62.84 / $77.51	Professional	26	$52.37	$62.84	$77.51
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $85.85 / $99.99 / $135.02	Facility	26	$85.85	$99.99	$135.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $121.55 / $228.00	Professional		$75.00	$121.55	$228.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $149.58 / $262.69	Professional		$68.56	$149.58	$262.69
United Facility/Professional Professional Modifier Low / Median / High Price $96.99 / $147.32 / $261.58	Professional		$96.99	$147.32	$261.58