Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $114.99 / $239.08	Professional		$92.71	$114.99	$239.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $135.97 / $223.07	Professional		$107.59	$135.97	$223.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $191.60 / $373.62	Professional		$157.46	$191.60	$373.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.07 / $152.24 / $261.98	Professional		$107.07	$152.24	$261.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.05 / $139.90 / $393.94	Professional		$107.05	$139.90	$393.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.62 / $146.09 / $206.23	Facility		$108.62	$146.09	$206.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $170.00 / $271.56	Professional		$149.00	$170.00	$271.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $121.18 / $148.40 / $243.38	Facility		$121.18	$148.40	$243.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $121.18 / $148.40 / $243.38	Professional		$121.18	$148.40	$243.38
United Facility/Professional Professional Modifier Low / Median / High Price $91.98 / $134.18 / $219.93	Professional		$91.98	$134.18	$219.93