Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.89 / $58.76 / $137.28	Facility	26	$31.89	$58.76	$137.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.60 / $167.50 / $215.86	Professional		$158.60	$167.50	$215.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.41 / $199.32 / $280.81	Professional		$154.41	$199.32	$280.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $202.03 / $328.76 / $487.78	Professional		$202.03	$328.76	$487.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.68 / $226.78 / $368.16	Professional		$133.68	$226.78	$368.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.07 / $232.74 / $241.09	Professional		$168.07	$232.74	$241.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.02 / $45.40 / $47.29	Professional	26	$35.02	$45.40	$47.29
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $53.00 / $53.00 / $56.85	Facility	26	$53.00	$53.00	$56.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $219.00 / $325.51	Professional		$50.00	$219.00	$325.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $197.26 / $459.18	Professional		$46.28	$197.26	$459.18
United Facility/Professional Professional Modifier Low / Median / High Price $151.69 / $247.14 / $378.30	Professional		$151.69	$247.14	$378.30