Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $125.89 / $436.52	Facility	26	$66.07	$125.89	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $407.38	Professional		$177.83	$234.42	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $457.09	Professional		$229.09	$338.84	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $501.19	Professional		$181.97	$309.03	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $537.03	Professional		$190.55	$263.03	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $363.08	Professional		$245.47	$331.13	$363.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $95.50 / $102.33	Professional	26	$72.44	$95.50	$102.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
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 $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $208.93 / $562.34	Professional		$83.18	$208.93	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $407.38	Professional		$165.96	$263.03	$407.38