Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.00 / $135.88 / $252.14	Facility	26	$75.00	$135.88	$252.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.56 / $181.27 / $366.01	Professional		$145.56	$181.27	$366.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $217.07 / $309.93	Professional		$172.87	$217.07	$309.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.89 / $222.10 / $475.45	Professional		$199.89	$222.10	$475.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.73 / $96.73 / $96.73	Facility	26	$96.73	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.27 / $224.30 / $451.79	Professional		$149.27	$224.30	$451.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.18 / $221.34 / $272.45	Professional		$179.18	$221.34	$272.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.62 / $96.09 / $119.33	Professional	26	$75.62	$96.09	$119.33
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $114.56 / $151.00 / $243.93	Facility	26	$114.56	$151.00	$243.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $175.00 / $329.00	Professional		$117.00	$175.00	$329.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $90.59 / $206.77 / $378.49	Professional		$90.59	$206.77	$378.49
United Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $202.46 / $336.43	Professional		$133.43	$202.46	$336.43