Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $10.00	Facility	26	$7.94	$7.94	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $89.13	Professional		$42.66	$52.48	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $95.50	Professional		$46.77	$61.66	$95.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $63.10 / $117.49	Professional		$13.80	$63.10	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $138.04	Professional		$50.12	$72.44	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $95.50	Professional		$46.77	$58.88	$95.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.47 / $15.85	Professional	26	$8.51	$10.47	$15.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $165.96	Professional		$97.72	$141.25	$165.96
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $18.20	Professional	26	$12.02	$15.14	$18.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $275.42	Professional		$102.33	$102.33	$275.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $60.26 / $123.03	Professional		$12.02	$60.26	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $131.83	Professional		$43.65	$72.44	$131.83