Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.47 / $27.05 / $108.25	Facility	26	$25.47	$27.05	$108.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $86.16 / $106.57	Professional		$76.59	$86.16	$106.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $109.25 / $159.37	Professional		$84.97	$109.25	$159.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.95 / $321.77	Professional		$114.82	$114.95	$321.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $120.89 / $220.43	Professional		$74.98	$120.89	$220.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $109.41 / $130.25	Professional		$88.21	$109.41	$130.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.32 / $31.28 / $37.60	Professional	26	$25.32	$31.28	$37.60
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $44.47 / $54.85 / $87.03	Facility	26	$44.47	$54.85	$87.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $114.98 / $176.00	Professional		$40.00	$114.98	$176.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $112.46 / $191.69	Professional		$37.99	$112.46	$191.69
United Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $114.89 / $167.02	Professional		$75.30	$114.89	$167.02