Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $234.42	Professional		$83.18	$125.89	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $173.78	Professional		$79.43	$79.43	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $125.89	Professional		$109.65	$114.82	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $302.00	Professional		$70.79	$104.71	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $194.98	Professional		$134.90	$154.88	$194.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $190.55 / $323.59	Facility		$52.48	$190.55	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $100.00 / $208.93	Facility		$70.79	$100.00	$208.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $263.03	Professional		$70.79	$109.65	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $295.12	Professional		$83.18	$134.90	$295.12