Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $54.78 / $62.70	Professional		$50.74	$54.78	$62.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $29.14 / $60.80	Professional		$29.14	$29.14	$60.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.91 / $75.89 / $107.99	Professional		$74.91	$75.89	$107.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $41.80 / $112.77	Professional		$31.37	$41.80	$112.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $88.54 / $128.01	Professional		$67.79	$88.54	$128.01
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.64 / $22.95 / $30.80	Professional	26	$17.64	$22.95	$30.80
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $36.06 / $38.00 / $63.98	Facility	26	$36.06	$38.00	$63.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $63.00 / $131.00	Professional		$25.00	$63.00	$131.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $72.05 / $117.40	Professional		$33.53	$72.05	$117.40
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $69.41 / $134.13	Professional		$39.31	$69.41	$134.13