Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $255.90 / $435.02 / $579.51	Facility	26	$255.90	$435.02	$579.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.30 / $1,119.05 / $1,918.18	Professional		$1,020.30	$1,119.05	$1,918.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.83 / $1,152.01 / $1,605.68	Professional		$904.83	$1,152.01	$1,605.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,157.41 / $2,537.84 / $9,661.28	Professional		$1,157.41	$2,537.84	$9,661.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,006.14 / $1,335.86 / $2,589.29	Professional		$1,006.14	$1,335.86	$2,589.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.64 / $1,096.36 / $1,360.58	Professional		$913.64	$1,096.36	$1,360.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $254.44 / $305.33 / $376.57	Professional	26	$254.44	$305.33	$376.57
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $444.66 / $475.28 / $483.80	Facility	26	$444.66	$475.28	$483.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $359.00 / $983.00 / $1,795.00	Professional		$359.00	$983.00	$1,795.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $1,157.75 / $6,073.00	Professional		$347.71	$1,157.75	$6,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $952.18 / $1,457.80 / $2,086.78	Professional		$952.18	$1,457.80	$2,086.78