Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.57 / $54.83 / $256.54	Facility	26	$50.57	$54.83	$256.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.30 / $225.16 / $251.44	Professional		$202.30	$225.16	$251.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $107.28 / $162.52	Professional		$107.28	$107.28	$162.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $279.91 / $388.36 / $806.04	Professional		$279.91	$388.36	$806.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $165.48 / $456.22	Professional		$73.73	$165.48	$456.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.26 / $358.76 / $380.68	Professional		$256.26	$358.76	$380.68
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.55 / $75.67 / $85.17	Professional	26	$57.55	$75.67	$85.17
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $92.36 / $99.33 / $176.31	Facility	26	$92.36	$99.33	$176.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $253.00 / $529.42	Professional		$79.00	$253.00	$529.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $217.22 / $681.54	Professional		$73.37	$217.22	$681.54
United Facility/Professional Professional Modifier Low / Median / High Price $112.97 / $221.82 / $419.92	Professional		$112.97	$221.82	$419.92