Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $89.13 / $112.20	Facility		$85.11	$89.13	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $309.03	Professional		$87.10	$151.36	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $223.87	Professional		$95.50	$138.04	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $104.71	Professional		$70.79	$74.13	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $147.91	Facility		$144.54	$144.54	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $218.78	Professional		$91.20	$128.82	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $199.53	Professional		$93.33	$144.54	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $158.49	Professional		$102.33	$125.89	$158.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $125.89 / $199.53	Facility		$85.11	$125.89	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $213.80	Professional		$60.26	$114.82	$213.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $107.15 / $173.78	Facility		$89.13	$107.15	$173.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $229.09	Professional		$117.49	$141.25	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $194.98	Professional		$75.86	$114.82	$194.98