Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.96 / $78.92 / $265.49	Facility	26	$60.96	$78.92	$265.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.01 / $212.03 / $416.92	Professional		$181.01	$212.03	$416.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.60 / $257.81 / $422.93	Professional		$201.60	$257.81	$422.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $315.02 / $326.44 / $2,586.50	Professional		$315.02	$326.44	$2,586.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.34 / $78.34 / $78.34	Facility	26	$78.34	$78.34	$78.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.78 / $323.64 / $577.40	Professional		$198.78	$323.64	$577.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.96 / $247.15 / $302.88	Professional		$205.96	$247.15	$302.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $61.11 / $73.33 / $91.01	Professional	26	$61.11	$73.33	$91.01
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $108.06 / $213.29	Facility	26	$80.00	$108.06	$213.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $119.95 / $277.00 / $447.00	Professional		$119.95	$277.00	$447.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $288.68 / $464.21	Professional		$96.56	$288.68	$464.21
United Facility/Professional Professional Modifier Low / Median / High Price $197.57 / $375.80 / $1,121.82	Professional		$197.57	$375.80	$1,121.82