Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.11 / $112.38 / $273.42	Facility	26	$66.11	$112.38	$273.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.04 / $322.70 / $455.55	Professional		$321.04	$322.70	$455.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.41 / $424.39 / $592.36	Professional		$330.41	$424.39	$592.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $421.28 / $421.28 / $619.98	Professional		$421.28	$421.28	$619.98
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 $324.04 / $481.59 / $899.21	Professional		$324.04	$481.59	$899.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $362.80 / $499.62 / $520.42	Professional		$362.80	$499.62	$520.42
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 $106.64 / $106.64 / $218.42	Facility	26	$106.64	$106.64	$218.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $403.00 / $675.00	Professional		$92.00	$403.00	$675.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $398.79 / $805.46	Professional		$89.95	$398.79	$805.46
United Facility/Professional Professional Modifier Low / Median / High Price $290.77 / $439.55 / $700.16	Professional		$290.77	$439.55	$700.16