Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.25 / $88.99 / $165.90	Facility	26	$50.25	$88.99	$165.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.29 / $113.87 / $226.53	Professional		$103.29	$113.87	$226.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.64 / $133.99 / $187.03	Professional		$106.64	$133.99	$187.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.46 / $134.46 / $238.46	Professional		$134.46	$134.46	$238.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.00 / $64.00 / $64.00	Facility	26	$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $153.72 / $275.41	Professional		$95.31	$153.72	$275.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $132.21 / $166.22	Professional		$107.02	$132.21	$166.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $50.01 / $63.54 / $78.88	Professional	26	$50.01	$63.54	$78.88
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $76.22 / $88.55 / $167.13	Facility	26	$76.22	$88.55	$167.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $109.00 / $203.00	Professional		$77.00	$109.00	$203.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $139.11 / $242.36	Professional		$66.62	$139.11	$242.36
United Facility/Professional Professional Modifier Low / Median / High Price $93.28 / $135.77 / $208.27	Professional		$93.28	$135.77	$208.27