Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $158.49 / $1,513.56	Facility		$83.18	$158.49	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $131.83	Professional		$72.44	$85.11	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $100.00	Professional		$58.88	$75.86	$100.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $112.20 / $338.84	Professional		$47.86	$112.20	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $776.25 / $870.96	Facility		$524.81	$776.25	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $204.17	Professional		$67.61	$112.20	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $281.84	Professional		$87.10	$109.65	$281.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $147.91	Professional		$120.23	$147.91	$147.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $158.49	Facility		$77.62	$123.03	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $75.86 / $173.78	Facility		$38.90	$75.86	$173.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $97.72 / $223.87	Professional		$40.74	$97.72	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $79.43 / $151.36	Professional		$30.20	$79.43	$151.36