Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $74.13 / $151.36	Facility		$67.61	$74.13	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $158.49	Professional		$58.88	$81.28	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $144.54	Professional		$72.44	$97.72	$144.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $114.82 / $147.91	Professional		$107.15	$114.82	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $186.21	Professional		$67.61	$95.50	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $245.47	Professional		$61.66	$81.28	$245.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $123.03	Professional		$74.13	$91.20	$123.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $91.20 / $141.25	Facility		$63.10	$91.20	$141.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $89.13 / $316.23	Facility		$69.18	$89.13	$316.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $316.23	Professional		$69.18	$89.13	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $154.88	Professional		$57.54	$93.33	$154.88