Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.59 / $53.69 / $99.47	Facility	26	$29.59	$53.69	$99.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $84.56 / $177.01	Professional		$78.06	$84.56	$177.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $102.14 / $144.41	Professional		$81.09	$102.14	$144.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $105.39 / $105.39 / $340.80	Professional		$105.39	$105.39	$340.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.15 / $38.15 / $38.15	Facility	26	$38.15	$38.15	$38.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.05 / $118.32 / $211.24	Professional		$72.05	$118.32	$211.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.57 / $103.24 / $126.84	Professional		$83.57	$103.24	$126.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.84 / $37.90 / $47.02	Professional	26	$29.84	$37.90	$47.02
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $49.20 / $60.52 / $101.89	Facility	26	$49.20	$60.52	$101.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $88.00 / $153.00	Professional		$46.01	$88.00	$153.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $106.89 / $183.27	Professional		$43.90	$106.89	$183.27
United Facility/Professional Professional Modifier Low / Median / High Price $72.15 / $106.79 / $165.73	Professional		$72.15	$106.79	$165.73