Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $155.65 / $293.87	Facility	26	$118.59	$155.65	$293.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.31 / $425.00 / $585.73	Professional		$283.31	$425.00	$585.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.05 / $378.20 / $586.90	Professional		$297.05	$378.20	$586.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $478.61 / $505.02 / $869.82	Professional		$478.61	$505.02	$869.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.80 / $86.80 / $86.80	Facility	26	$86.80	$86.80	$86.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.24 / $552.29 / $919.58	Professional		$301.24	$552.29	$919.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.62 / $370.34 / $453.85	Professional		$308.62	$370.34	$453.85
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $68.09 / $84.11 / $101.84	Professional	26	$68.09	$84.11	$101.84
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $88.96 / $138.41 / $278.04	Facility	26	$88.96	$138.41	$278.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.06 / $453.00 / $811.00	Professional		$102.06	$453.00	$811.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $109.11 / $439.66 / $918.75	Professional		$109.11	$439.66	$918.75
United Facility/Professional Professional Modifier Low / Median / High Price $299.44 / $483.18 / $815.97	Professional		$299.44	$483.18	$815.97