Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.49 / $4.11 / $9.51	Facility	26	$3.49	$4.11	$9.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $48.77 / $67.80	Professional		$40.22	$48.77	$67.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $56.91 / $80.15	Professional		$43.89	$56.91	$80.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $133.25	Professional		$65.00	$65.00	$133.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.21 / $4.21 / $4.21	Facility	26	$4.21	$4.21	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $66.80 / $111.77	Professional		$47.20	$66.80	$111.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $55.59 / $83.39	Professional		$44.47	$55.59	$83.39
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $3.14 / $4.13 / $5.90	Professional	26	$3.14	$4.13	$5.90
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $3.69 / $5.00 / $9.72	Facility	26	$3.69	$5.00	$9.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $63.00 / $93.00	Professional		$5.00	$63.00	$93.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $56.53 / $101.25	Professional		$4.58	$56.53	$101.25
United Facility/Professional Professional Modifier Low / Median / High Price $40.77 / $66.31 / $109.21	Professional		$40.77	$66.31	$109.21