Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $138.04 / $331.13	Facility	26	$74.13	$138.04	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $234.42	Professional		$112.20	$131.83	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $251.19	Professional		$125.89	$177.83	$251.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $186.21 / $691.83	Professional		$83.18	$186.21	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $354.81	Professional		$112.20	$190.55	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $186.21	Professional		$131.83	$177.83	$186.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $104.71 / $112.20	Professional	26	$81.28	$104.71	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $316.23	Professional		$251.19	$295.12	$316.23
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $138.04 / $162.18	Professional	26	$125.89	$138.04	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $158.49 / $2,570.40	Professional		$61.66	$158.49	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $309.03	Professional		$112.20	$181.97	$309.03