Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $144.54 / $181.97	Facility	26	$83.18	$144.54	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $302.00	Professional		$144.54	$177.83	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $338.84	Professional		$154.88	$213.80	$338.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $181.97 / $281.84	Professional		$81.28	$181.97	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $389.05	Professional		$158.49	$213.80	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $407.38	Professional		$131.83	$190.55	$407.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $97.72 / $208.93	Professional	26	$70.79	$97.72	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $295.12	Professional		$181.97	$229.09	$295.12
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $147.91 / $169.82	Professional	26	$117.49	$147.91	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $173.78 / $676.08	Professional		$74.13	$173.78	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $316.23	Professional		$128.82	$190.55	$316.23