Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.53 / $114.53 / $262.39	Facility	26	$97.53	$114.53	$262.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.82 / $231.96 / $302.80	Professional		$172.82	$231.96	$302.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.07 / $265.51 / $406.65	Professional		$184.07	$265.51	$406.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $224.87 / $249.86 / $487.23	Professional		$224.87	$249.86	$487.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $278.35 / $504.74	Professional		$176.54	$278.35	$504.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.17 / $254.21 / $321.44	Professional		$210.17	$254.21	$321.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $93.50 / $115.50 / $143.00	Professional	26	$93.50	$115.50	$143.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $105.46 / $134.00 / $271.58	Facility	26	$105.46	$134.00	$271.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $195.68 / $348.00	Professional		$118.00	$195.68	$348.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $245.42 / $545.41	Professional		$109.08	$245.42	$545.41
United Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $286.75 / $530.60	Professional		$156.97	$286.75	$530.60