Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $117.49 / $398.11	Facility	26	$87.10	$117.49	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $724.44	Professional		$288.40	$363.08	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $724.44	Professional		$331.13	$467.74	$724.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $2,630.27	Professional		$323.59	$501.19	$2,630.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $114.82 / $162.18	Facility	26	$24.55	$114.82	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $831.76	Professional		$295.12	$489.78	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $489.78	Professional		$323.59	$398.11	$489.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $109.65 / $134.90	Professional	26	$89.13	$109.65	$134.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $213.80 / $213.80	Professional	26	$213.80	$213.80	$213.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $575.44	Professional		$346.74	$346.74	$575.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $398.11 / $831.76	Professional		$128.82	$398.11	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $588.84 / $1,174.90	Professional		$309.03	$588.84	$1,174.90