Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $43.65 / $114.82	Facility	26	$25.70	$43.65	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $257.04	Professional		$66.07	$102.33	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $257.04	Professional		$97.72	$147.91	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $208.93	Professional		$77.62	$117.49	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $190.55	Professional		$70.79	$95.50	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $158.49	Professional		$102.33	$131.83	$158.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $33.88 / $41.69	Professional	26	$28.18	$33.88	$41.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $229.09	Professional		$75.86	$93.33	$229.09
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $43.65 / $61.66	Professional	26	$35.48	$43.65	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $173.78	Professional		$72.44	$72.44	$173.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $79.43 / $208.93	Professional		$31.62	$79.43	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $165.96	Professional		$53.70	$91.20	$165.96