Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.85 / $55.24 / $103.70	Facility	26	$46.85	$55.24	$103.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $111.47 / $183.44	Professional		$90.20	$111.47	$183.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $126.09 / $198.68	Professional		$91.38	$126.09	$198.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $119.22 / $232.48	Professional		$114.11	$119.22	$232.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.30 / $138.01 / $247.68	Professional		$95.30	$138.01	$247.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.88 / $126.65 / $160.41	Professional		$104.88	$126.65	$160.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.25 / $55.89 / $69.20	Professional	26	$45.25	$55.89	$69.20
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $51.38 / $65.00 / $132.91	Facility	26	$51.38	$65.00	$132.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $97.00 / $173.00	Professional		$57.00	$97.00	$173.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $116.24 / $258.20	Professional		$51.45	$116.24	$258.20
United Facility/Professional Professional Modifier Low / Median / High Price $86.28 / $146.06 / $256.06	Professional		$86.28	$146.06	$256.06