Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.87 / $20.30 / $37.64	Facility	26	$16.87	$20.30	$37.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $66.64 / $83.71	Professional		$61.02	$66.64	$83.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.77 / $78.98 / $109.68	Professional		$61.77	$78.98	$109.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $81.81 / $163.62	Professional		$81.81	$81.81	$163.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.92 / $20.92 / $20.92	Facility	26	$20.92	$20.92	$20.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $93.89 / $154.35	Professional		$70.13	$93.89	$154.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $76.69 / $113.58	Professional		$60.58	$76.69	$113.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.25 / $20.01 / $28.59	Professional	26	$15.25	$20.01	$28.59
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $19.61 / $21.55 / $48.48	Facility	26	$19.61	$21.55	$48.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $84.00 / $122.00	Professional		$25.00	$84.00	$122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $82.48 / $130.04	Professional		$23.34	$82.48	$130.04
United Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $82.81 / $133.28	Professional		$57.22	$82.81	$133.28