Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $67.61 / $537.03	Facility	26	$33.88	$67.61	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $194.98	Professional		$57.54	$77.62	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $162.18	Professional		$69.18	$97.72	$162.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $102.33 / $144.54 / $229.09	Professional	50	$102.33	$144.54	$229.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $562.34	Professional		$52.48	$75.86	$562.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $43.65 / $61.66	Facility	26	$9.33	$43.65	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $151.36 / $245.47	Professional		$60.26	$151.36	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $97.72	Professional		$63.10	$77.62	$97.72
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $42.66 / $53.70	Professional	26	$33.88	$42.66	$53.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $269.15	Professional		$213.80	$234.42	$269.15
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $117.49 / $141.25	Professional	26	$112.20	$117.49	$141.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $177.83	Professional		$112.20	$112.20	$177.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $251.19	Professional		$57.54	$114.82	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $239.88	Professional		$72.44	$131.83	$239.88