Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $128.82 / $512.86	Facility	26	$69.18	$128.82	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $660.69	Professional		$213.80	$295.12	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $512.86	Professional		$234.42	$346.74	$512.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $257.04 / $489.78	Professional		$74.13	$257.04	$489.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $89.13 / $128.82	Facility	26	$19.05	$89.13	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $562.34	Professional		$181.97	$275.42	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $380.19	Professional		$239.88	$302.00	$380.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $85.11 / $109.65	Professional	26	$69.18	$85.11	$109.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $269.15	Professional		$213.80	$269.15	$269.15
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $134.90 / $147.91	Professional	26	$120.23	$134.90	$147.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $426.58	Professional		$100.00	$100.00	$426.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $251.19 / $575.44	Professional		$95.50	$251.19	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $467.74	Professional		$154.88	$257.04	$467.74