Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.18 / $79.51 / $319.43	Facility	26	$74.18	$79.51	$319.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.40 / $647.60 / $796.99	Professional		$592.40	$647.60	$796.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.90 / $757.78 / $1,131.07	Professional		$599.90	$757.78	$1,131.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $842.83 / $885.78 / $1,195.39	Professional		$842.83	$885.78	$1,195.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.19 / $1,005.50 / $1,646.09	Professional		$701.19	$1,005.50	$1,646.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $622.33 / $867.11 / $892.60	Professional		$622.33	$867.11	$892.60
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $81.50 / $105.61 / $110.01	Professional	26	$81.50	$105.61	$110.01
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $97.84 / $97.84 / $130.19	Facility	26	$97.84	$97.84	$130.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.57 / $994.80 / $1,336.32	Professional		$125.57	$994.80	$1,336.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $106.13 / $803.95 / $1,598.76	Professional		$106.13	$803.95	$1,598.76
United Facility/Professional Professional Modifier Low / Median / High Price $582.29 / $977.30 / $1,462.84	Professional		$582.29	$977.30	$1,462.84