Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $80.25 / $130.22	Facility		$42.28	$80.25	$130.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.35 / $205.61 / $259.64	Facility		$160.35	$205.61	$259.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $42.28 / $42.28	Professional		$29.17	$42.28	$42.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $136.99 / $205.06	Professional		$89.63	$136.99	$205.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.48 / $66.50 / $216.37	Facility		$27.48	$66.50	$216.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $42.28 / $60.71	Professional		$35.94	$42.28	$60.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $52.85 / $62.57	Professional		$50.74	$52.85	$62.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Facility		$42.28	$42.28	$42.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.18 / $88.79	Professional		$34.67	$39.18	$88.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.02 / $48.07 / $175.56	Facility		$30.02	$48.07	$175.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $48.07 / $175.56	Professional		$30.02	$48.07	$175.56
United Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $19.03 / $27.48	Professional		$17.57	$19.03	$27.48