Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $57.54 / $112.20	Facility	26	$48.98	$57.54	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $302.00	Professional		$169.82	$199.53	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $446.68	Professional		$181.97	$251.19	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $204.17 / $398.11	Professional		$77.62	$204.17	$398.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $85.11	Facility	26	$12.59	$58.88	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $416.87	Professional		$151.36	$251.19	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $288.40	Professional		$181.97	$229.09	$288.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $58.88 / $75.86	Professional	26	$46.77	$58.88	$75.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $239.88	Professional		$147.91	$186.21	$239.88
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $79.43 / $123.03	Professional	26	$63.10	$79.43	$123.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $199.53 / $457.09	Professional		$61.66	$199.53	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $416.87	Professional		$128.82	$223.87	$416.87