Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.70 / $109.37 / $124.24	Professional		$103.70	$109.37	$124.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $38.74 / $80.84	Professional		$38.74	$38.74	$80.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.57 / $140.57 / $164.47	Professional		$140.57	$140.57	$164.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $82.54 / $242.67	Professional		$38.65	$82.54	$242.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $166.76 / $189.50	Professional		$128.91	$166.76	$189.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.38 / $159.03 / $238.64	Facility		$97.38	$159.03	$238.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $93.57 / $193.00	Professional		$52.00	$93.57	$193.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $96.19 / $223.49	Facility		$43.32	$96.19	$223.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $104.28 / $264.89	Professional		$47.83	$104.28	$264.89
United Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $95.29 / $204.09	Professional		$50.09	$95.29	$204.09