Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $380.08 / $473.25 / $861.62	Facility	26	$380.08	$473.25	$861.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,383.98 / $1,565.63 / $2,617.05	Professional		$1,383.98	$1,565.63	$2,617.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.13 / $1,566.18 / $2,182.94	Professional		$1,230.13	$1,566.18	$2,182.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,570.46 / $3,547.91 / $11,583.11	Professional		$1,570.46	$3,547.91	$11,583.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.60 / $1,865.91 / $3,597.18	Professional		$1,393.60	$1,865.91	$3,597.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,241.89 / $1,490.27 / $1,846.41	Professional		$1,241.89	$1,490.27	$1,846.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $377.22 / $452.66 / $558.29	Professional	26	$377.22	$452.66	$558.29
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $650.26 / $705.15 / $718.41	Facility	26	$650.26	$705.15	$718.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $533.00 / $1,353.00 / $2,459.00	Professional		$533.00	$1,353.00	$2,459.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $516.45 / $1,621.20 / $6,699.46	Professional		$516.45	$1,621.20	$6,699.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,320.72 / $2,003.01 / $2,894.67	Professional		$1,320.72	$2,003.01	$2,894.67