Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $489.78 / $1,698.24	Facility	26	$251.19	$489.78	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,584.89	Professional		$724.44	$891.25	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,659.59	Professional		$851.14	$1,174.90	$1,659.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $3,890.45	Professional		$660.69	$1,071.52	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $2,238.72	Professional		$794.33	$1,202.26	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,318.26	Professional		$912.01	$1,230.27	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $281.84 / $371.54 / $389.05	Professional	26	$281.84	$371.54	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $588.84 / $588.84 / $588.84	Professional	26	$588.84	$588.84	$588.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $977.24 / $2,398.83	Professional		$338.84	$977.24	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,862.09	Professional		$724.44	$1,122.02	$1,862.09