Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $426.58	Professional		$114.82	$186.21	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $309.03	Professional		$134.90	$186.21	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $316.23	Professional		$213.80	$223.87	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $288.40	Professional		$134.90	$177.83	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $251.19	Professional		$117.49	$141.25	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $257.04	Professional		$147.91	$186.21	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $177.83 / $281.84	Facility		$123.03	$177.83	$281.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $173.78 / $275.42	Facility		$144.54	$173.78	$275.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $275.42	Professional		$144.54	$173.78	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $257.04	Professional		$112.20	$162.18	$257.04