Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.27 / $29.67 / $68.16	Facility	26	$26.27	$29.67	$68.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $169.82 / $226.47	Professional		$138.94	$169.82	$226.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $195.34 / $303.48	Professional		$124.50	$195.34	$303.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $166.74 / $185.27 / $361.28	Professional		$166.74	$185.27	$361.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.08 / $198.73 / $351.71	Professional		$88.08	$198.73	$351.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $175.54 / $227.45	Professional		$148.72	$175.54	$227.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.52 / $30.29 / $37.51	Professional	26	$24.52	$30.29	$37.51
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $28.31 / $36.00 / $71.48	Facility	26	$28.31	$36.00	$71.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $148.00 / $307.00	Professional		$37.00	$148.00	$307.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $177.78 / $340.00	Professional		$36.47	$177.78	$340.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $178.69 / $303.77	Professional		$89.90	$178.69	$303.77