Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $134.90 / $354.81	Facility	26	$50.12	$134.90	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $338.84	Professional		$165.96	$223.87	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $190.55	Professional		$107.15	$107.15	$190.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $562.34 / $933.25	Professional		$245.47	$562.34	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $154.88 / $457.09	Professional		$74.13	$154.88	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $380.19	Professional		$263.03	$338.84	$380.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $69.18 / $79.43	Professional	26	$57.54	$69.18	$79.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $602.56	Professional		$50.12	$50.12	$602.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $218.78 / $977.24	Professional		$72.44	$218.78	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $426.58	Professional		$112.20	$218.78	$426.58