Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $190.55 / $8,317.64	Facility		$79.43	$190.55	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $257.04	Professional		$61.66	$123.03	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $218.78	Professional		$67.61	$123.03	$218.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $933.25	Professional		$63.10	$79.43	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $234.42	Professional		$66.07	$117.49	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $186.21	Professional		$125.89	$151.36	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $302.00	Professional		$151.36	$199.53	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $125.89 / $229.09	Facility		$67.61	$125.89	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $85.11 / $1,174.90	Facility		$63.10	$85.11	$1,174.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $1,174.90	Professional		$112.20	$162.18	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,148.15 / $2,398.83	Facility		$218.78	$1,148.15	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $114.82 / $223.87	Professional		$61.66	$114.82	$223.87