Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.87 / $32.65 / $76.95	Facility	26	$17.87	$32.65	$76.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.22 / $173.70 / $220.86	Professional		$160.22	$173.70	$220.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.84 / $202.45 / $285.66	Professional		$148.84	$202.45	$285.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $206.24 / $295.97 / $439.14	Professional		$206.24	$295.97	$439.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.37 / $225.52 / $403.87	Professional		$129.37	$225.52	$403.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $240.55 / $247.03	Professional		$172.40	$240.55	$247.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.63 / $25.44 / $26.50	Professional	26	$19.63	$25.44	$26.50
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $29.00 / $29.00 / $31.31	Facility	26	$29.00	$29.00	$31.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $232.00 / $348.00	Professional		$28.00	$232.00	$348.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $209.90 / $598.49	Professional		$25.61	$209.90	$598.49
United Facility/Professional Professional Modifier Low / Median / High Price $148.96 / $252.29 / $392.88	Professional		$148.96	$252.29	$392.88