Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.16 / $33.79 / $77.42	Facility	26	$29.16	$33.79	$77.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $82.38 / $103.55	Professional		$65.81	$82.38	$103.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $94.40 / $145.62	Professional		$69.14	$94.40	$145.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $89.55 / $163.19	Professional		$80.06	$89.55	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $104.87 / $184.40	Professional		$70.02	$104.87	$184.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $91.73 / $116.91	Professional		$76.44	$91.73	$116.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.94 / $34.51 / $42.73	Professional	26	$27.94	$34.51	$42.73
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $30.98 / $40.00 / $80.34	Facility	26	$30.98	$40.00	$80.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $66.00 / $122.00	Professional		$41.00	$66.00	$122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $86.41 / $183.21	Professional		$38.08	$86.41	$183.21
United Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $99.09 / $171.19	Professional		$58.38	$99.09	$171.19