Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.69 / $64.20 / $233.05	Facility	26	$55.69	$64.20	$233.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.56 / $164.99 / $281.54	Professional		$153.56	$164.99	$281.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.06 / $466.87 / $655.77	Professional		$209.06	$466.87	$655.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $423.01 / $474.45 / $947.10	Professional		$423.01	$474.45	$947.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.42 / $67.42 / $67.42	Facility	26	$67.42	$67.42	$67.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.00 / $427.52 / $870.80	Professional		$291.00	$427.52	$870.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.54 / $399.90 / $576.71	Professional		$318.54	$399.90	$576.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.04 / $67.02 / $82.66	Professional	26	$53.04	$67.02	$82.66
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $59.60 / $90.38 / $158.05	Facility	26	$59.60	$90.38	$158.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.01 / $337.00 / $501.00	Professional		$79.01	$337.00	$501.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $211.59 / $350.67	Professional		$74.25	$211.59	$350.67
United Facility/Professional Professional Modifier Low / Median / High Price $240.18 / $390.57 / $715.39	Professional		$240.18	$390.57	$715.39