Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.94 / $93.94 / $102.72	Facility		$93.94	$93.94	$102.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $96.48 / $120.49	Professional		$87.20	$96.48	$120.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.43 / $148.43 / $198.95	Professional		$148.43	$148.43	$198.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.51 / $86.51 / $86.51	Professional		$86.51	$86.51	$86.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.12 / $178.12 / $178.12	Facility		$178.12	$178.12	$178.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $62.01	Professional		$62.01	$62.01	$62.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $177.83 / $243.18	Professional		$129.19	$177.83	$243.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.86 / $122.12 / $193.76	Facility		$84.86	$122.12	$193.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $234.00 / $356.23	Professional		$100.20	$234.00	$356.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.18 / $137.85 / $234.94	Facility		$104.18	$137.85	$234.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.18 / $137.12 / $234.94	Professional		$104.18	$137.12	$234.94
United Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $75.83 / $126.37	Professional		$68.25	$75.83	$126.37