Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.54 / $61.49 / $148.72	Facility	26	$34.54	$61.49	$148.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.26 / $278.49 / $278.49	Professional		$255.26	$278.49	$278.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.33 / $316.01 / $445.21	Professional		$248.33	$316.01	$445.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.23 / $861.13 / $1,301.90	Professional		$331.23	$861.13	$1,301.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.90 / $406.78 / $693.22	Professional		$242.90	$406.78	$693.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.68 / $368.40 / $379.65	Professional		$264.68	$368.40	$379.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.31 / $48.26 / $50.28	Professional	26	$37.31	$48.26	$50.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $373.00 / $588.00	Professional		$53.00	$373.00	$588.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $48.33 / $335.08 / $674.78	Professional		$48.33	$335.08	$674.78
United Facility/Professional Professional Modifier Low / Median / High Price $248.94 / $404.53 / $632.99	Professional		$248.94	$404.53	$632.99