Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $119.14 / $164.25	Professional		$98.32	$119.14	$164.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.71 / $191.78 / $317.06	Professional		$146.71	$191.78	$317.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.91 / $125.48 / $250.96	Professional		$117.91	$125.48	$250.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $142.75 / $248.55	Professional		$105.27	$142.75	$248.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $113.50 / $199.61	Professional		$90.80	$113.50	$199.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $161.00 / $226.10	Professional		$132.00	$161.00	$226.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $109.56 / $159.27 / $246.85	Professional		$109.56	$159.27	$246.85
United Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $127.59 / $210.62	Professional		$87.13	$127.59	$210.62