Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.23 / $29.30 / $67.34	Facility	26	$25.23	$29.30	$67.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.74 / $153.66 / $187.30	Professional		$122.74	$153.66	$187.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $176.97 / $278.85	Professional		$125.45	$176.97	$278.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.44 / $164.31 / $320.39	Professional		$163.44	$164.31	$320.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.27 / $178.10 / $330.50	Professional		$88.27	$178.10	$330.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $160.72 / $207.91	Professional		$135.94	$160.72	$207.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.55 / $29.09 / $36.01	Professional	26	$23.55	$29.09	$36.01
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $28.31 / $37.00 / $69.92	Facility	26	$28.31	$37.00	$69.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $145.00 / $270.00	Professional		$36.00	$145.00	$270.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $156.28 / $312.56	Professional		$36.04	$156.28	$312.56
United Facility/Professional Professional Modifier Low / Median / High Price $87.67 / $162.41 / $289.26	Professional		$87.67	$162.41	$289.26