Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.27 / $132.19 / $255.93	Facility	26	$74.27	$132.19	$255.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $124.63 / $232.52	Professional		$117.38	$124.63	$232.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.55 / $154.84 / $216.13	Professional		$120.55	$154.84	$216.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $226.69 / $723.14	Professional		$162.19	$226.69	$723.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.47 / $95.47 / $95.47	Facility	26	$95.47	$95.47	$95.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.30 / $192.14 / $345.09	Professional		$112.30	$192.14	$345.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $175.93 / $184.80	Professional		$132.41	$175.93	$184.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $81.50 / $105.71 / $110.11	Professional	26	$81.50	$105.71	$110.11
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $127.10 / $143.27 / $316.49	Facility	26	$127.10	$143.27	$316.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $125.64 / $236.20	Professional		$66.00	$125.64	$236.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $166.76 / $2,410.00	Professional		$61.49	$166.76	$2,410.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $183.45 / $297.14	Professional		$112.38	$183.45	$297.14