Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.75 / $54.73 / $106.73	Facility	26	$30.75	$54.73	$106.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $217.43 / $333.56	Professional		$192.64	$217.43	$333.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.66 / $248.68 / $350.34	Professional		$192.66	$248.68	$350.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.64 / $441.31 / $654.78	Professional		$245.64	$441.31	$654.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.17 / $281.18 / $461.12	Professional		$166.17	$281.18	$461.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.79 / $291.70 / $300.77	Professional		$209.79	$291.70	$300.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.70 / $43.74 / $45.56	Professional	26	$33.70	$43.74	$45.56
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $40.39 / $52.77 / $62.00	Facility	26	$40.39	$52.77	$62.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $263.00 / $430.06	Professional		$48.00	$263.00	$430.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.92 / $254.04 / $567.80	Professional		$43.92	$254.04	$567.80
United Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $290.62 / $488.30	Professional		$190.49	$290.62	$488.30