Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $117.49 / $436.52	Facility	26	$66.07	$117.49	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $251.19	Professional		$120.23	$141.25	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $275.42	Professional		$138.04	$194.98	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $165.96 / $524.81	Professional		$70.79	$165.96	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $331.13	Professional		$128.82	$194.98	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $213.80	Professional		$147.91	$199.53	$213.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $97.72 / $102.33	Professional	26	$72.44	$97.72	$102.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	26	$154.88	$154.88	$154.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $147.91 / $389.05	Professional		$69.18	$147.91	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $309.03	Professional		$120.23	$181.97	$309.03