Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.11 / $66.58 / $273.42	Facility	26	$66.11	$66.58	$273.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.65 / $134.84 / $190.30	Professional		$129.65	$134.84	$190.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.04 / $171.58 / $239.86	Professional		$135.04	$171.58	$239.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $166.22 / $166.22 / $543.23	Professional		$166.22	$166.22	$543.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.69 / $83.69 / $83.69	Facility	26	$83.69	$83.69	$83.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.97 / $196.95 / $372.25	Professional		$122.97	$196.95	$372.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.61 / $199.13 / $209.18	Professional		$147.61	$199.13	$209.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.70 / $95.33 / $99.30	Professional	26	$72.70	$95.33	$99.30
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $104.77 / $105.50 / $218.42	Facility	26	$104.77	$105.50	$218.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $134.00 / $245.55	Professional		$92.00	$134.00	$245.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $156.49 / $325.45	Professional		$73.75	$156.49	$325.45
United Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $185.10 / $280.12	Professional		$121.22	$185.10	$280.12