Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.00 / $41.00 / $115.57	Facility	26	$41.00	$41.00	$115.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $191.78 / $262.81	Professional		$152.88	$191.78	$262.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.56 / $218.94 / $331.98	Professional		$169.56	$218.94	$331.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $220.13 / $245.89 / $818.64	Professional		$220.13	$245.89	$818.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.38 / $52.38 / $52.38	Facility	26	$52.38	$52.38	$52.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.61 / $288.83 / $436.48	Professional		$184.61	$288.83	$436.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.02 / $274.82 / $323.32	Professional		$229.02	$274.82	$323.32
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.54 / $52.55 / $63.54	Professional	26	$42.54	$52.55	$63.54
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $53.82 / $61.00 / $141.38	Facility	26	$53.82	$61.00	$141.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $246.00 / $388.00	Professional		$63.00	$246.00	$388.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $267.88 / $396.32	Professional		$78.78	$267.88	$396.32
United Facility/Professional Professional Modifier Low / Median / High Price $176.49 / $268.70 / $420.95	Professional		$176.49	$268.70	$420.95