Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.02 / $87.66 / $180.89	Facility	26	$50.02	$87.66	$180.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.03 / $220.66 / $403.74	Professional		$209.03	$220.66	$403.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.48 / $289.62 / $404.24	Professional		$225.48	$289.62	$404.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $268.14 / $619.98	Professional		$268.14	$268.14	$619.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.66 / $62.66 / $62.66	Facility	26	$62.66	$62.66	$62.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.17 / $307.62 / $615.66	Professional		$214.17	$307.62	$615.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.89 / $339.51 / $354.27	Professional		$246.89	$339.51	$354.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $54.69 / $71.72 / $74.70	Professional	26	$54.69	$71.72	$74.70
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $93.68 / $93.68 / $164.34	Facility	26	$93.68	$93.68	$164.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $251.00 / $439.00	Professional		$69.00	$251.00	$439.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $254.55 / $544.98	Professional		$67.73	$254.55	$544.98
United Facility/Professional Professional Modifier Low / Median / High Price $194.01 / $315.26 / $488.96	Professional		$194.01	$315.26	$488.96