Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $45.71 / $112.20	Facility	26	$25.12	$45.71	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $147.91	Professional		$75.86	$89.13	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $181.97	Professional		$91.20	$128.82	$181.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $295.12	Professional		$67.61	$104.71	$295.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $32.36 / $45.71	Facility	26	$6.92	$32.36	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $204.17	Professional		$75.86	$117.49	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $131.83	Professional		$85.11	$107.15	$131.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $30.90 / $38.02	Professional	26	$24.55	$30.90	$38.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $60.26 / $60.26	Professional	26	$60.26	$60.26	$60.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $154.88	Professional		$85.11	$85.11	$154.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $104.71 / $199.53	Professional		$37.15	$104.71	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $173.78	Professional		$75.86	$97.72	$173.78