Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $97.72 / $354.81	Facility	26	$47.86	$97.72	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $323.59	Professional		$177.83	$204.17	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $416.87	Professional		$199.53	$275.42	$416.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $331.13 / $1,318.26	Professional		$57.54	$331.13	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $562.34	Professional		$186.21	$331.13	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $302.00	Professional		$208.93	$288.40	$302.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $70.79 / $74.13	Professional	26	$53.70	$70.79	$74.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $588.84	Professional		$416.87	$467.74	$588.84
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $87.10 / $107.15	Professional	26	$85.11	$87.10	$107.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $269.15 / $645.65	Professional		$70.79	$269.15	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $537.03	Professional		$204.17	$331.13	$537.03