Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.05 / $70.77 / $153.01	Facility	26	$42.05	$70.77	$153.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.01 / $211.81 / $384.41	Professional		$197.01	$211.81	$384.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.91 / $246.77 / $347.66	Professional		$193.91	$246.77	$347.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $254.03 / $563.22 / $851.51	Professional		$254.03	$563.22	$851.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.66 / $301.93 / $485.51	Professional		$188.66	$301.93	$485.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.11 / $289.62 / $300.02	Professional		$209.11	$289.62	$300.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.87 / $55.55 / $57.86	Professional	26	$42.87	$55.55	$57.86
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $68.30 / $68.30 / $80.00	Facility	26	$68.30	$68.30	$80.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $272.44 / $404.11	Professional		$63.00	$272.44	$404.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $263.83 / $916.72	Professional		$56.66	$263.83	$916.72
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $310.74 / $507.49	Professional		$190.55	$310.74	$507.49