Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.26 / $83.96 / $159.72	Facility	26	$53.26	$83.96	$159.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.87 / $134.97 / $254.88	Professional		$119.87	$134.97	$254.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.84 / $195.92 / $279.74	Professional		$141.84	$195.92	$279.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.43 / $174.83 / $371.97	Professional		$149.43	$174.83	$371.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.28 / $70.28 / $70.28	Facility	26	$70.28	$70.28	$70.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.22 / $162.68 / $348.05	Professional		$117.22	$162.68	$348.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.54 / $214.06 / $253.88	Professional		$171.54	$214.06	$253.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.28 / $70.76 / $87.23	Professional	26	$57.28	$70.76	$87.23
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $77.52 / $91.00 / $157.71	Facility	26	$77.52	$91.00	$157.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $122.00 / $235.50	Professional		$75.34	$122.00	$235.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $157.01 / $298.88	Professional		$68.65	$157.01	$298.88
United Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $154.88 / $246.12	Professional		$93.87	$154.88	$246.12