Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $97.72 / $123.03	Facility	26	$97.72	$97.72	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $549.54	Professional		$338.84	$407.38	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $933.25	Professional		$363.08	$512.86	$933.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $436.52 / $831.76	Professional		$104.71	$436.52	$831.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $125.89 / $181.97	Facility	26	$26.92	$125.89	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $870.96	Professional		$295.12	$501.19	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $562.34	Professional		$346.74	$436.52	$562.34
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $114.82 / $147.91	Professional	26	$91.20	$114.82	$147.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $389.05	Professional		$281.84	$354.81	$389.05
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $199.53 / $204.17	Professional	26	$158.49	$199.53	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $380.19 / $870.96	Professional		$138.04	$380.19	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $794.33	Professional		$239.88	$416.87	$794.33