Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $252.44 / $446.52 / $1,043.38	Facility	26	$252.44	$446.52	$1,043.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.19 / $847.47 / $1,540.88	Professional		$791.19	$847.47	$1,540.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $824.03 / $1,047.65 / $1,462.30	Professional		$824.03	$1,047.65	$1,462.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,081.55 / $1,081.55 / $4,087.28	Professional		$1,081.55	$1,081.55	$4,087.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $320.77 / $320.77 / $320.77	Facility	26	$320.77	$320.77	$320.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.61 / $1,199.81 / $2,247.69	Professional		$814.61	$1,199.81	$2,247.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $900.88 / $1,231.07 / $1,293.14	Professional		$900.88	$1,231.07	$1,293.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $279.33 / $366.17 / $381.43	Professional	26	$279.33	$366.17	$381.43
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $478.17 / $478.17 / $834.79	Facility	26	$478.17	$478.17	$834.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $352.00 / $913.00 / $1,525.00	Professional		$352.00	$913.00	$1,525.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $343.59 / $1,033.24 / $1,993.57	Professional		$343.59	$1,033.24	$1,993.57
United Facility/Professional Professional Modifier Low / Median / High Price $731.91 / $1,159.05 / $1,703.26	Professional		$731.91	$1,159.05	$1,703.26