Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.79 / $59.85 / $139.74	Facility	26	$32.79	$59.85	$139.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.47 / $293.99 / $459.47	Professional		$265.47	$293.99	$459.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.74 / $324.39 / $454.91	Professional		$253.74	$324.39	$454.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $358.35 / $672.00 / $997.07	Professional		$358.35	$672.00	$997.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.03 / $387.46 / $605.07	Professional		$240.03	$387.46	$605.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.91 / $377.45 / $388.44	Professional		$270.91	$377.45	$388.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.99 / $46.67 / $48.61	Professional	26	$35.99	$46.67	$48.61
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $43.17 / $60.83 / $72.00	Facility	26	$43.17	$60.83	$72.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $402.00 / $577.05	Professional		$55.43	$402.00	$577.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $48.16 / $351.05 / $1,058.86	Professional		$48.16	$351.05	$1,058.86
United Facility/Professional Professional Modifier Low / Median / High Price $254.96 / $383.27 / $649.62	Professional		$254.96	$383.27	$649.62