Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.86 / $112.16 / $263.87	Facility	26	$63.86	$112.16	$263.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.25 / $403.88 / $544.16	Professional		$369.25	$403.88	$544.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.61 / $628.41 / $881.27	Professional		$484.61	$628.41	$881.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $493.41 / $525.80 / $743.14	Professional		$493.41	$525.80	$743.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.78 / $80.78 / $80.78	Facility	26	$80.78	$80.78	$80.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.57 / $501.50 / $1,157.39	Professional		$238.57	$501.50	$1,157.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $536.02 / $741.89 / $768.71	Professional		$536.02	$741.89	$768.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.09 / $92.10 / $95.94	Professional	26	$70.09	$92.10	$95.94
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $82.29 / $103.00 / $209.66	Facility	26	$82.29	$103.00	$209.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $475.00 / $816.00	Professional		$94.00	$475.00	$816.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $90.99 / $464.61 / $1,081.77	Professional		$90.99	$464.61	$1,081.77
United Facility/Professional Professional Modifier Low / Median / High Price $233.06 / $519.40 / $811.25	Professional		$233.06	$519.40	$811.25