Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.74 / $57.47 / $107.95	Facility	26	$48.74	$57.47	$107.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $92.31 / $144.93	Professional		$79.76	$92.31	$144.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $101.02 / $159.16	Professional		$72.39	$101.02	$159.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $89.11 / $173.76	Professional		$86.52	$89.11	$173.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $124.12 / $213.31	Professional		$85.25	$124.12	$213.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $101.47 / $127.10	Professional		$83.10	$101.47	$127.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.06 / $58.14 / $71.98	Professional	26	$47.06	$58.14	$71.98
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $70.28 / $114.25 / $141.51	Facility	26	$70.28	$114.25	$141.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $77.67 / $156.87	Professional		$54.00	$77.67	$156.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $106.59 / $198.79	Professional		$49.39	$106.59	$198.79
United Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $132.60 / $198.09	Professional		$79.59	$132.60	$198.09