Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $57.54 / $112.20	Facility	26	$47.86	$57.54	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $194.98	Professional		$83.18	$95.50	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $213.80	Professional		$85.11	$117.49	$213.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $89.13 / $199.53	Professional		$43.65	$89.13	$199.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $83.18	Facility	26	$12.59	$58.88	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $199.53	Professional		$87.10	$125.89	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $138.04	Professional		$85.11	$107.15	$138.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $58.88 / $75.86	Professional	26	$46.77	$58.88	$75.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $97.72 / $97.72	Professional	26	$97.72	$97.72	$97.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $97.72 / $199.53	Professional		$47.86	$97.72	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $199.53	Professional		$79.43	$125.89	$199.53