Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.20 / $114.01 / $121.86	Professional		$108.20	$114.01	$121.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $77.59 / $161.93	Professional		$77.59	$77.59	$161.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $146.22 / $173.42	Professional		$146.22	$146.22	$173.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $104.68 / $293.73	Professional		$61.40	$104.68	$293.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $177.39 / $296.69	Professional		$136.44	$177.39	$296.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.63 / $208.64 / $544.91	Facility		$128.63	$208.64	$544.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $155.00 / $370.00	Professional		$74.00	$155.00	$370.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $144.47 / $292.58	Facility		$90.00	$144.47	$292.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.72 / $207.76 / $327.66	Professional		$104.72	$207.76	$327.66
United Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $165.27 / $475.25	Professional		$83.58	$165.27	$475.25