Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $42.66 / $173.78	Facility	26	$22.91	$42.66	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $128.82	Professional		$40.74	$51.29	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $97.72	Professional		$47.86	$66.07	$97.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $251.19	Professional		$30.90	$52.48	$251.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.46 / $29.51 / $42.66	Facility	26	$6.46	$29.51	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.18 / $114.82	Professional		$40.74	$69.18	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $69.18	Professional		$44.67	$56.23	$69.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $28.84 / $37.15	Professional	26	$23.44	$28.84	$37.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $120.23	Professional		$95.50	$114.82	$120.23
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $51.29 / $56.23	Professional	26	$41.69	$51.29	$56.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $81.28	Professional		$70.79	$70.79	$81.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $57.54 / $107.15	Professional		$27.54	$57.54	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $102.33	Professional		$39.81	$63.10	$102.33