Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.05 / $39.26 / $85.84	Facility	26	$22.05	$39.26	$85.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $56.00 / $99.07	Professional		$42.60	$56.00	$99.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $67.00 / $99.50	Professional		$53.81	$67.00	$99.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $66.88 / $207.09	Professional		$64.22	$66.88	$207.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.28 / $28.28 / $28.28	Facility	26	$28.28	$28.28	$28.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $77.89 / $132.16	Professional		$46.69	$77.89	$132.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $68.69 / $84.72	Professional		$56.96	$68.69	$84.72
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.22 / $27.45 / $33.08	Professional	26	$22.22	$27.45	$33.08
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $38.79 / $44.00 / $76.73	Facility	26	$38.79	$44.00	$76.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $56.00 / $104.00	Professional		$34.21	$56.00	$104.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $72.12 / $121.54	Professional		$33.67	$72.12	$121.54
United Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $71.73 / $115.53	Professional		$47.82	$71.73	$115.53