Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.23 / $22.92 / $91.43	Facility	26	$22.23	$22.92	$91.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.04 / $63.38	Professional		$50.12	$54.04	$63.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.90 / $71.54 / $100.96	Professional		$55.90	$71.54	$100.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $69.70 / $131.72	Professional		$69.70	$69.70	$131.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.43 / $28.43 / $28.43	Facility	26	$28.43	$28.43	$28.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $75.22 / $140.22	Professional		$47.97	$75.22	$140.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $69.89 / $83.20	Professional		$56.58	$69.89	$83.20
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.86 / $25.77 / $30.93	Professional	26	$20.86	$25.77	$30.93
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $37.72 / $46.53 / $73.66	Facility	26	$37.72	$46.53	$73.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $62.00 / $108.00	Professional		$34.18	$62.00	$108.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $69.56 / $123.41	Professional		$30.90	$69.56	$123.41
United Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $62.86 / $101.34	Professional		$45.27	$62.86	$101.34