Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.39 / $21.40 / $49.02	Facility	26	$18.39	$21.40	$49.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $95.56 / $121.71	Professional		$59.75	$95.56	$121.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $106.64 / $168.02	Professional		$75.59	$106.64	$168.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.73 / $101.92 / $198.74	Professional		$91.73	$101.92	$198.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $107.34 / $212.22	Professional		$40.89	$107.34	$212.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $103.88 / $134.21	Professional		$87.75	$103.88	$134.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.62 / $21.77 / $26.95	Professional	26	$17.62	$21.77	$26.95
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $19.67 / $26.00 / $50.85	Facility	26	$19.67	$26.00	$50.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $77.00 / $149.60	Professional		$25.00	$77.00	$149.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $87.42 / $212.96	Professional		$22.39	$87.42	$212.96
United Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $96.95 / $188.76	Professional		$36.97	$96.95	$188.76