Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $148.41 / $187.00	Professional		$74.63	$148.41	$187.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $235.34 / $235.34	Professional		$90.40	$235.34	$235.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.81 / $158.81 / $158.81	Professional		$158.81	$158.81	$158.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.31 / $238.31 / $238.31	Facility		$238.31	$238.31	$238.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $86.76	Professional		$86.76	$86.76	$86.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.70 / $215.37 / $269.77	Professional		$192.70	$215.37	$269.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.42 / $149.46 / $252.21	Facility		$120.42	$149.46	$252.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.20 / $306.00 / $531.34	Professional		$124.20	$306.00	$531.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $143.91 / $182.99 / $283.32	Facility		$143.91	$182.99	$283.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $182.99 / $283.32	Professional		$143.91	$182.99	$283.32
United Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $113.10 / $136.33	Professional		$90.17	$113.10	$136.33