Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $173.97 / $328.14	Facility		$68.75	$173.97	$328.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $75.16 / $86.57	Professional		$68.75	$75.16	$86.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $91.66 / $450.51	Facility		$91.66	$91.66	$450.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $45.27 / $72.34	Professional		$45.27	$45.27	$72.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $100.83 / $196.62	Professional		$91.66	$100.83	$196.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.58 / $171.27 / $469.67	Facility		$59.58	$171.27	$469.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $111.63 / $133.75	Professional		$59.58	$111.63	$133.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $109.99 / $135.66	Professional		$91.66	$109.99	$135.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $113.17 / $187.86	Facility		$76.31	$113.17	$187.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $181.49 / $219.98	Professional		$108.00	$181.49	$219.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.58 / $82.49 / $147.02	Facility		$59.58	$82.49	$147.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $91.66 / $147.02	Professional		$59.58	$91.66	$147.02
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $55.00 / $124.78	Professional		$38.50	$55.00	$124.78