Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $257.04 / $478.63 / $537.03	Facility	26	$257.04	$478.63	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,995.26	Professional		$954.99	$1,122.02	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,737.80	Professional		$933.25	$1,258.93	$1,737.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $6,456.54 / $10,000.00	Professional		$398.11	$6,456.54	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,511.89	Professional		$1,000.00	$1,348.96	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,412.54	Professional		$954.99	$1,148.15	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $263.03 / $316.23 / $389.05	Professional	26	$263.03	$316.23	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,089.30	Professional		$1,288.25	$1,621.81	$2,089.30
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $416.87 / $512.86 / $512.86	Professional	26	$416.87	$512.86	$512.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,148.15 / $11,748.98	Professional		$346.74	$1,148.15	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $2,290.87	Professional		$933.25	$1,445.44	$2,290.87