Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $108.68 / $137.22	Professional		$54.99	$108.68	$137.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $173.40 / $173.40	Professional		$60.85	$173.40	$173.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.18 / $123.18 / $123.18	Professional		$123.18	$123.18	$123.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.55 / $180.55 / $180.55	Facility		$180.55	$180.55	$180.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Professional		$63.92	$63.92	$63.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.46 / $167.05 / $209.25	Professional		$149.46	$167.05	$209.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.73 / $115.93 / $195.63	Facility		$88.73	$115.93	$195.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.35 / $237.00 / $412.13	Professional		$96.35	$237.00	$412.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $111.63 / $141.96 / $219.75	Facility		$111.63	$141.96	$219.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $111.63 / $141.96 / $219.75	Professional		$111.63	$141.96	$219.75
United Facility/Professional Professional Modifier Low / Median / High Price $66.44 / $87.73 / $105.50	Professional		$66.44	$87.73	$105.50