Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.77 / $10.90 / $25.01	Facility	26	$8.77	$10.90	$25.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $47.49 / $62.57	Professional		$43.68	$47.49	$62.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $56.59 / $83.82	Professional		$44.93	$56.59	$83.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $70.66 / $144.85	Professional		$70.66	$70.66	$144.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $73.31 / $133.52	Professional		$50.59	$73.31	$133.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $54.88 / $81.95	Professional		$43.70	$54.88	$81.95
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $10.41 / $14.87	Professional	26	$7.93	$10.41	$14.87
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $10.18 / $14.00 / $22.23	Facility	26	$10.18	$14.00	$22.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $63.99 / $99.00	Professional		$13.00	$63.99	$99.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $60.01 / $120.80	Professional		$12.11	$60.01	$120.80
United Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $72.80 / $138.97	Professional		$43.02	$72.80	$138.97