Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.49 / $54.27 / $120.31	Facility	26	$30.49	$54.27	$120.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.89 / $113.59 / $229.57	Professional		$102.89	$113.59	$229.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.91 / $131.75 / $188.11	Professional		$105.91	$131.75	$188.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.93 / $141.93 / $326.67	Professional		$141.93	$141.93	$326.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.29 / $39.29 / $39.29	Facility	26	$39.29	$39.29	$39.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.37 / $137.72 / $272.24	Professional		$91.37	$137.72	$272.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.98 / $135.12 / $168.18	Professional		$108.98	$135.12	$168.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.74 / $39.06 / $48.46	Professional	26	$30.74	$39.06	$48.46
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $50.25 / $60.00 / $102.99	Facility	26	$50.25	$60.00	$102.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $123.00 / $197.00	Professional		$47.40	$123.00	$197.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $136.77 / $255.04	Professional		$46.06	$136.77	$255.04
United Facility/Professional Professional Modifier Low / Median / High Price $84.05 / $128.71 / $206.44	Professional		$84.05	$128.71	$206.44