Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.19 / $87.55 / $173.48	Facility	26	$49.19	$87.55	$173.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.47 / $325.06 / $511.92	Professional		$286.47	$325.06	$511.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.02 / $371.48 / $523.36	Professional		$272.02	$371.48	$523.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $342.34 / $564.65 / $837.79	Professional		$342.34	$564.65	$837.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $419.84 / $689.78	Professional		$248.50	$419.84	$689.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $312.24 / $433.63 / $447.92	Professional		$312.24	$433.63	$447.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.67 / $69.54 / $72.44	Professional	26	$53.67	$69.54	$72.44
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $85.86 / $85.86 / $100.00	Facility	26	$85.86	$85.86	$100.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $418.00 / $633.29	Professional		$79.00	$418.00	$633.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $398.76 / $901.00	Professional		$71.98	$398.76	$901.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.08 / $435.70 / $738.41	Professional		$286.08	$435.70	$738.41