Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $53.70 / $204.17	Facility	26	$25.70	$53.70	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $323.59	Professional		$169.82	$218.78	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $457.09	Professional		$190.55	$295.12	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $263.03 / $660.69	Professional		$47.86	$263.03	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $446.68	Professional		$177.83	$257.04	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $338.84	Professional		$229.09	$323.59	$338.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $39.81 / $41.69	Professional	26	$30.20	$39.81	$41.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $288.40	Professional		$208.93	$234.42	$288.40
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $47.86 / $66.07	Professional	26	$47.86	$47.86	$66.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $223.87 / $741.31	Professional		$38.90	$223.87	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $524.81	Professional		$162.18	$295.12	$524.81