Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.76 / $161.37 / $435.92	Facility	26	$120.76	$161.37	$435.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.64 / $887.60 / $1,557.69	Professional		$786.64	$887.60	$1,557.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $773.85 / $984.71 / $1,374.44	Professional		$773.85	$984.71	$1,374.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $990.42 / $1,724.38 / $3,447.32	Professional		$990.42	$1,724.38	$3,447.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.14 / $1,039.73 / $2,101.84	Professional		$826.14	$1,039.73	$2,101.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $777.69 / $933.49 / $1,166.85	Professional		$777.69	$933.49	$1,166.85
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $120.08 / $144.10 / $177.72	Professional	26	$120.08	$144.10	$177.72
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $218.18 / $221.06 / $228.26	Facility	26	$218.18	$221.06	$228.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $868.00 / $1,540.00	Professional		$167.00	$868.00	$1,540.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $918.00 / $6,073.00	Professional		$164.39	$918.00	$6,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $754.77 / $1,140.33 / $1,815.24	Professional		$754.77	$1,140.33	$1,815.24