Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $10.96 / $12.88	Facility	26	$10.96	$10.96	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $93.33	Professional		$46.77	$57.54	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $104.71	Professional		$51.29	$69.18	$104.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $61.66 / $100.00	Professional		$15.14	$61.66	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $114.82	Professional		$52.48	$72.44	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $102.33	Professional		$53.70	$67.61	$102.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $13.49 / $20.42	Professional	26	$10.72	$13.49	$20.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $123.03	Professional		$87.10	$107.15	$123.03
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $19.50 / $23.44	Professional	26	$15.49	$19.50	$23.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $204.17	Professional		$93.33	$93.33	$204.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $63.10 / $109.65	Professional		$15.49	$63.10	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $117.49	Professional		$44.67	$70.79	$117.49