Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.85 / $208.30 / $305.91	Professional		$167.85	$208.30	$305.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.08 / $240.52 / $397.65	Professional		$188.08	$240.52	$397.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.26 / $188.26 / $367.11	Professional		$188.26	$188.26	$367.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.54 / $234.54 / $234.54	Facility		$234.54	$234.54	$234.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $183.31 / $183.31	Professional		$183.31	$183.31	$183.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.40 / $241.75 / $364.82	Professional		$193.40	$241.75	$364.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $168.59 / $231.75 / $368.59	Facility		$168.59	$231.75	$368.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $247.56 / $305.67 / $480.62	Professional		$247.56	$305.67	$480.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $199.32 / $246.42 / $430.04	Facility		$199.32	$246.42	$430.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $199.32 / $246.42 / $430.04	Professional		$199.32	$246.42	$430.04
United Facility/Professional Professional Modifier Low / Median / High Price $162.27 / $231.82 / $376.22	Professional		$162.27	$231.82	$376.22