Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $138.04 / $165.96	Facility	26	$138.04	$138.04	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $309.03	Professional		$169.82	$204.17	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $446.68	Professional		$173.78	$245.47	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $199.53 / $309.03	Professional		$42.66	$199.53	$309.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $165.96 / $234.42	Facility	26	$35.48	$165.96	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $407.38	Professional		$141.25	$234.42	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $316.23	Professional		$194.98	$239.88	$316.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $169.82 / $218.78	Professional	26	$134.90	$169.82	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $245.47	Professional		$158.49	$199.53	$245.47
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $208.93 / $208.93	Professional	26	$123.03	$208.93	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $199.53 / $426.58	Professional		$53.70	$199.53	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $398.11	Professional		$125.89	$223.87	$398.11