Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.26 / $67.98 / $127.78	Facility	26	$57.26	$67.98	$127.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $138.47 / $180.63	Professional		$108.34	$138.47	$180.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.17 / $155.69 / $244.66	Professional		$116.17	$155.69	$244.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $149.66 / $291.86	Professional		$149.66	$149.66	$291.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.36 / $156.61 / $301.31	Professional		$102.36	$156.61	$301.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.49 / $143.62 / $181.22	Professional		$118.49	$143.62	$181.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $54.91 / $67.83 / $83.98	Professional	26	$54.91	$67.83	$83.98
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $62.44 / $80.00 / $160.85	Facility	26	$62.44	$80.00	$160.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $108.00 / $192.76	Professional		$71.50	$108.00	$192.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $139.69 / $277.07	Professional		$61.75	$139.69	$277.07
United Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $145.38 / $275.20	Professional		$80.77	$145.38	$275.20