Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.90 / $89.87 / $211.96	Facility	26	$48.90	$89.87	$211.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.24 / $206.22 / $242.74	Professional		$195.24	$206.22	$242.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.21 / $245.60 / $342.80	Professional		$191.21	$245.60	$342.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $252.57 / $849.23 / $1,283.91	Professional		$252.57	$849.23	$1,283.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.21 / $330.23 / $528.51	Professional		$185.21	$330.23	$528.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.79 / $283.79 / $295.51	Professional		$205.79	$283.79	$295.51
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.69 / $69.61 / $72.51	Professional	26	$53.69	$69.61	$72.51
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $64.51 / $64.51 / $79.00	Facility	26	$64.51	$64.51	$79.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $273.00 / $421.00	Professional		$77.00	$273.00	$421.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $268.89 / $537.79	Professional		$70.12	$268.89	$537.79
United Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $328.93 / $522.95	Professional		$201.36	$328.93	$522.95