Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.42 / $43.64 / $81.80	Facility	26	$25.42	$43.64	$81.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $89.35 / $173.02	Professional		$61.11	$89.35	$173.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $124.19 / $205.32	Professional		$95.00	$124.19	$205.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $116.56 / $116.56 / $220.30	Professional		$116.56	$116.56	$220.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.78 / $32.78 / $32.78	Facility	26	$32.78	$32.78	$32.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $96.86 / $202.48	Professional		$70.36	$96.86	$202.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.69 / $127.71 / $150.93	Professional		$98.69	$127.71	$150.93
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.86 / $34.38 / $39.75	Professional	26	$26.86	$34.38	$39.75
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $38.28 / $51.75 / $79.53	Facility	26	$38.28	$51.75	$79.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $82.00 / $151.93	Professional		$39.00	$82.00	$151.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $80.17 / $184.96	Professional		$32.72	$80.17	$184.96
United Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $97.55 / $153.00	Professional		$53.58	$97.55	$153.00