Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.25 / $43.64 / $176.22	Facility	26	$40.25	$43.64	$176.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.50 / $347.73 / $376.41	Professional		$263.50	$347.73	$376.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.12 / $414.14 / $611.98	Professional		$327.12	$414.14	$611.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $460.69 / $460.96 / $898.87	Professional		$460.69	$460.96	$898.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.82 / $51.82 / $51.82	Facility	26	$51.82	$51.82	$51.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.89 / $503.50 / $877.04	Professional		$289.89	$503.50	$877.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.04 / $411.65 / $504.48	Professional		$343.04	$411.65	$504.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.58 / $50.13 / $60.37	Professional	26	$40.58	$50.13	$60.37
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $71.67 / $71.67 / $143.34	Facility	26	$71.67	$71.67	$143.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $480.59 / $743.75	Professional		$61.00	$480.59	$743.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $442.67 / $748.41	Professional		$63.57	$442.67	$748.41
United Facility/Professional Professional Modifier Low / Median / High Price $322.14 / $483.22 / $786.19	Professional		$322.14	$483.22	$786.19