Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.73 / $95.33 / $219.28	Facility	26	$80.73	$95.33	$219.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.62 / $148.82 / $202.42	Professional		$124.62	$148.82	$202.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.22 / $173.31 / $267.27	Professional		$127.22	$173.31	$267.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.06 / $144.07 / $280.94	Professional		$134.06	$144.07	$280.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $202.81 / $339.69	Professional		$143.19	$202.81	$339.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $168.76 / $211.12	Professional		$138.04	$168.76	$211.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $76.44 / $94.43 / $116.91	Professional	26	$76.44	$94.43	$116.91
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $115.04 / $187.96 / $234.53	Facility	26	$115.04	$187.96	$234.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $127.00 / $265.81	Professional		$78.00	$127.00	$265.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $166.60 / $313.44	Professional		$75.45	$166.60	$313.44
United Facility/Professional Professional Modifier Low / Median / High Price $124.31 / $201.39 / $305.36	Professional		$124.31	$201.39	$305.36