Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.51 / $61.42 / $123.09	Facility	26	$34.51	$61.42	$123.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.12 / $285.77 / $450.93	Professional		$266.12	$285.77	$450.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.89 / $325.95 / $459.23	Professional		$252.89	$325.95	$459.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $347.40 / $661.40 / $981.34	Professional		$347.40	$661.40	$981.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.27 / $388.56 / $611.22	Professional		$236.27	$388.56	$611.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.19 / $383.16 / $394.73	Professional		$275.19	$383.16	$394.73
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.64 / $48.67 / $50.70	Professional	26	$37.64	$48.67	$50.70
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $45.60 / $60.83 / $72.00	Facility	26	$45.60	$60.83	$72.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $390.00 / $579.24	Professional		$56.00	$390.00	$579.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $368.46 / $1,199.00	Professional		$51.00	$368.46	$1,199.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.38 / $416.62 / $636.63	Professional		$256.38	$416.62	$636.63