Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $100.83 / $126.97	Professional		$55.00	$100.83	$126.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $162.97 / $162.97	Professional		$63.02	$162.97	$162.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.13 / $114.13 / $114.13	Professional		$114.13	$114.13	$114.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.37 / $168.37 / $168.37	Facility		$168.37	$168.37	$168.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $60.08 / $60.08	Professional		$60.08	$60.08	$60.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $154.77 / $193.87	Professional		$138.47	$154.77	$193.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.40 / $107.41 / $181.25	Facility		$83.40	$107.41	$181.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.26 / $220.00 / $381.84	Professional		$89.26	$220.00	$381.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $103.42 / $131.52 / $203.61	Facility		$103.42	$131.52	$203.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $103.42 / $131.52 / $203.61	Professional		$103.42	$131.52	$203.61
United Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $81.28 / $97.97	Professional		$62.45	$81.28	$97.97