Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $97.72 / $128.82	Professional		$48.98	$97.72	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $154.88 / $275.42	Professional		$46.77	$154.88	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $151.36	Professional		$102.33	$120.23	$151.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $117.49	Professional		$83.18	$83.18	$117.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $97.72 / $158.49	Facility		$70.79	$97.72	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $72.44	Professional		$69.18	$69.18	$72.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $100.00 / $125.89	Facility		$77.62	$100.00	$125.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $125.89	Professional		$77.62	$100.00	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $63.10 / $83.18	Professional		$56.23	$63.10	$83.18