Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.78 / $15.43 / $28.49	Facility	26	$12.78	$15.43	$28.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.35 / $50.10 / $65.26	Professional		$45.35	$50.10	$65.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $59.34 / $82.39	Professional		$46.40	$59.34	$82.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $59.30 / $115.63	Professional		$59.30	$59.30	$115.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.90 / $15.90 / $15.90	Facility	26	$15.90	$15.90	$15.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $68.84 / $111.16	Professional		$51.09	$68.84	$111.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $58.09 / $85.86	Professional		$45.79	$58.09	$85.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.86 / $15.57 / $22.25	Professional	26	$11.86	$15.57	$22.25
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.05 / $16.73 / $36.92	Facility	26	$15.05	$16.73	$36.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $60.95 / $88.40	Professional		$19.00	$60.95	$88.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $58.93 / $94.56	Professional		$17.96	$58.93	$94.56
United Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $60.42 / $96.67	Professional		$42.38	$60.42	$96.67