Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.28 / $59.23 / $167.61	Facility	26	$33.28	$59.23	$167.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $162.19 / $273.45	Professional		$138.13	$162.19	$273.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.53 / $183.14 / $274.73	Professional		$141.53	$183.14	$274.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $181.49 / $383.77	Professional		$163.34	$181.49	$383.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.51 / $40.51 / $40.51	Facility	26	$40.51	$40.51	$40.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.78 / $197.91 / $389.81	Professional		$137.78	$197.91	$389.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $180.33 / $224.78	Professional		$144.63	$180.33	$224.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.29 / $39.75 / $49.42	Professional	26	$31.29	$39.75	$49.42
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $40.46 / $64.00 / $96.42	Facility	26	$40.46	$64.00	$96.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $151.00 / $264.73	Professional		$48.80	$151.00	$264.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $49.48 / $170.87 / $309.05	Professional		$49.48	$170.87	$309.05
United Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $177.90 / $314.91	Professional		$119.00	$177.90	$314.91