Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $44.67 / $173.78	Facility	26	$23.99	$44.67	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $239.88	Professional		$58.88	$83.18	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $138.04	Professional		$67.61	$95.50	$138.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $69.18 / $302.00	Professional		$26.30	$69.18	$302.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $31.62 / $44.67	Facility	26	$6.76	$31.62	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $162.18	Professional		$56.23	$97.72	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $100.00	Professional		$64.57	$79.43	$100.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.20 / $38.02	Professional	26	$23.99	$30.20	$38.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $162.18	Professional		$125.89	$154.88	$162.18
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $51.29 / $60.26	Professional	26	$40.74	$51.29	$60.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $138.04	Professional		$114.82	$114.82	$138.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $83.18 / $154.88	Professional		$34.67	$83.18	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $147.91	Professional		$56.23	$87.10	$147.91