Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.04 / $21.40 / $40.24	Facility	26	$18.04	$21.40	$40.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $84.40 / $127.74	Professional		$64.97	$84.40	$127.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $95.26 / $146.91	Professional		$69.93	$95.26	$146.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $88.98 / $173.51	Professional		$80.09	$88.98	$173.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $101.42 / $183.64	Professional		$39.31	$101.42	$183.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $91.66 / $118.17	Professional		$77.27	$91.66	$118.17
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 / $25.00 / $50.85	Facility	26	$19.67	$25.00	$50.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $75.00 / $146.00	Professional		$25.00	$75.00	$146.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $81.58 / $173.70	Professional		$22.10	$81.58	$173.70
United Facility/Professional Professional Modifier Low / Median / High Price $36.08 / $88.46 / $178.31	Professional		$36.08	$88.46	$178.31