Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.80 / $113.62 / $382.39	Facility	26	$88.80	$113.62	$382.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.43 / $353.22 / $572.90	Professional		$293.43	$353.22	$572.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.67 / $407.15 / $652.05	Professional		$314.67	$407.15	$652.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $588.67 / $605.33 / $2,586.50	Professional		$588.67	$605.33	$2,586.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.82 / $113.82 / $113.82	Facility	26	$113.82	$113.82	$113.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.83 / $511.27 / $904.63	Professional		$316.83	$511.27	$904.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.05 / $392.47 / $480.96	Professional		$327.05	$392.47	$480.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $89.79 / $107.75 / $133.19	Professional	26	$89.79	$107.75	$133.19
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $156.28 / $192.75 / $308.07	Facility	26	$156.28	$192.75	$308.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $174.55 / $451.00 / $708.00	Professional		$174.55	$451.00	$708.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $458.40 / $735.40	Professional		$139.66	$458.40	$735.40
United Facility/Professional Professional Modifier Low / Median / High Price $312.99 / $543.58 / $1,129.53	Professional		$312.99	$543.58	$1,129.53