Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $77.62 / $281.84	Facility	26	$38.90	$77.62	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $407.38	Professional		$181.97	$213.80	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $416.87	Professional		$204.17	$275.42	$416.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $288.40 / $870.96	Professional		$70.79	$288.40	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $457.09	Professional		$190.55	$302.00	$457.09
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 $42.66 / $56.23 / $58.88	Professional	26	$42.66	$56.23	$58.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $389.05	Professional		$281.84	$316.23	$389.05
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $70.79 / $93.33	Professional	26	$67.61	$70.79	$93.33
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 $56.23 / $263.03 / $1,096.48	Professional		$56.23	$263.03	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $512.86	Professional		$190.55	$323.59	$512.86