Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.63 / $45.42 / $83.85	Facility	26	$38.63	$45.42	$83.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $105.51 / $147.57	Professional		$80.29	$105.51	$147.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $119.35 / $188.06	Professional		$87.05	$119.35	$188.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.52 / $112.52 / $219.41	Professional		$112.52	$112.52	$219.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.18 / $120.27 / $232.94	Professional		$78.18	$120.27	$232.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.96 / $118.90 / $151.35	Professional		$98.96	$118.90	$151.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.35 / $46.14 / $57.12	Professional	26	$37.35	$46.14	$57.12
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $42.00 / $54.00 / $108.71	Facility	26	$42.00	$54.00	$108.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $81.00 / $154.68	Professional		$52.00	$81.00	$154.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $102.83 / $239.76	Professional		$44.40	$102.83	$239.76
United Facility/Professional Professional Modifier Low / Median / High Price $67.51 / $120.07 / $212.52	Professional		$67.51	$120.07	$212.52