Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.89 / $79.90 / $146.12	Facility	26	$44.89	$79.90	$146.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $111.17 / $224.46	Professional		$100.80	$111.17	$224.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.17 / $136.49 / $191.88	Professional		$108.17	$136.49	$191.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.96 / $133.96 / $396.31	Professional		$133.96	$133.96	$396.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.04 / $57.04 / $57.04	Facility	26	$57.04	$57.04	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $146.99 / $268.89	Professional		$92.84	$146.99	$268.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.74 / $139.27 / $168.05	Professional		$112.74	$139.27	$168.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $44.59 / $56.66 / $70.40	Professional	26	$44.59	$56.66	$70.40
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $73.55 / $89.00 / $150.00	Facility	26	$73.55	$89.00	$150.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.05 / $104.95 / $195.00	Professional		$69.05	$104.95	$195.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $139.53 / $267.50	Professional		$63.41	$139.53	$267.50
United Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $139.15 / $201.62	Professional		$90.18	$139.15	$201.62