Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.89 / $116.54 / $242.00	Facility	26	$66.89	$116.54	$242.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.20 / $234.30 / $398.31	Professional		$183.20	$234.30	$398.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.17 / $285.77 / $403.29	Professional		$222.17	$285.77	$403.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $215.43 / $286.85 / $526.54	Professional		$215.43	$286.85	$526.54
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 $189.67 / $263.07 / $583.99	Professional		$189.67	$263.07	$583.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $334.01 / $350.70	Professional		$244.20	$334.01	$350.70
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 / $176.00 / $407.86	Professional		$92.00	$176.00	$407.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $213.26 / $511.80	Professional		$87.55	$213.26	$511.80
United Facility/Professional Professional Modifier Low / Median / High Price $176.65 / $264.97 / $399.89	Professional		$176.65	$264.97	$399.89