Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.32 / $153.50 / $359.19	Facility	26	$86.32	$153.50	$359.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.69 / $284.13 / $532.59	Professional		$237.69	$284.13	$532.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.23 / $375.88 / $526.10	Professional		$292.23	$375.88	$526.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $282.13 / $377.34 / $775.27	Professional		$282.13	$377.34	$775.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.64 / $109.64 / $109.64	Facility	26	$109.64	$109.64	$109.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.04 / $343.97 / $765.72	Professional		$248.04	$343.97	$765.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.33 / $439.57 / $461.43	Professional		$321.33	$439.57	$461.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $95.30 / $124.99 / $130.19	Professional	26	$95.30	$124.99	$130.19
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $138.77 / $138.77 / $286.42	Facility	26	$138.77	$138.77	$286.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $230.00 / $537.38	Professional		$120.00	$230.00	$537.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $115.21 / $280.61 / $671.90	Professional		$115.21	$280.61	$671.90
United Facility/Professional Professional Modifier Low / Median / High Price $227.43 / $351.08 / $583.74	Professional		$227.43	$351.08	$583.74