Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.39 / $109.49 / $234.00	Facility	26	$64.39	$109.49	$234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.01 / $263.56 / $370.09	Professional		$247.01	$263.56	$370.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.71 / $310.47 / $433.35	Professional		$241.71	$310.47	$433.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $324.88 / $1,006.01 / $1,520.93	Professional		$324.88	$1,006.01	$1,520.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.25 / $418.06 / $649.67	Professional		$234.25	$418.06	$649.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.32 / $356.34 / $371.01	Professional		$258.32	$356.34	$371.01
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.45 / $86.17 / $89.76	Professional	26	$66.45	$86.17	$89.76
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $79.17 / $79.17 / $122.00	Facility	26	$79.17	$79.17	$122.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $349.00 / $545.00	Professional		$95.00	$349.00	$545.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $345.54 / $930.55	Professional		$87.32	$345.54	$930.55
United Facility/Professional Professional Modifier Low / Median / High Price $236.46 / $391.74 / $629.77	Professional		$236.46	$391.74	$629.77