Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.29 / $37.02 / $87.35	Facility	26	$20.29	$37.02	$87.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.13 / $177.49 / $286.86	Professional		$165.13	$177.49	$286.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.84 / $208.57 / $294.29	Professional		$159.84	$208.57	$294.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $214.72 / $359.07 / $532.76	Professional		$214.72	$359.07	$532.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.26 / $241.22 / $383.35	Professional		$139.26	$241.22	$383.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.99 / $246.77 / $253.67	Professional		$176.99	$246.77	$253.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.26 / $28.87 / $30.08	Professional	26	$22.26	$28.87	$30.08
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $34.68 / $34.68 / $41.00	Facility	26	$34.68	$34.68	$41.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $243.00 / $362.00	Professional		$32.00	$243.00	$362.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $213.11 / $487.96	Professional		$29.05	$213.11	$487.96
United Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $239.83 / $403.19	Professional		$159.88	$239.83	$403.19