Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.14 / $85.32 / $214.78	Facility	26	$51.14	$85.32	$214.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.74 / $410.53 / $763.60	Professional		$300.74	$410.53	$763.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.75 / $508.50 / $713.09	Professional		$397.75	$508.50	$713.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $384.77 / $384.77 / $1,035.44	Professional		$384.77	$384.77	$1,035.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.42 / $64.42 / $64.42	Facility	26	$64.42	$64.42	$64.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.77 / $468.48 / $1,154.19	Professional		$293.77	$468.48	$1,154.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $438.19 / $606.57 / $628.66	Professional		$438.19	$606.57	$628.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $55.68 / $73.12 / $80.54	Professional	26	$55.68	$73.12	$80.54
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $65.98 / $87.00 / $170.27	Facility	26	$65.98	$87.00	$170.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $471.00 / $851.00	Professional		$71.14	$471.00	$851.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $472.19 / $1,092.98	Professional		$71.64	$472.19	$1,092.98
United Facility/Professional Professional Modifier Low / Median / High Price $282.82 / $470.43 / $806.79	Professional		$282.82	$470.43	$806.79