Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $83.18 / $199.53	Facility		$67.61	$83.18	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $134.90	Professional		$57.54	$77.62	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $338.84 / $426.58	Facility		$288.40	$338.84	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $165.96	Professional		$70.79	$107.15	$165.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $95.50 / $151.36	Professional		$16.22	$95.50	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $288.40 / $645.65	Facility		$134.90	$288.40	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $177.83	Professional		$51.29	$83.18	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $125.89	Professional		$79.43	$95.50	$125.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $190.55	Professional		$57.54	$74.13	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $95.50 / $151.36	Facility		$63.10	$95.50	$151.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $144.54	Professional		$79.43	$79.43	$144.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $67.61 / $169.82	Facility		$18.20	$67.61	$169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $79.43 / $194.98	Professional		$19.50	$79.43	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $43.65 / $407.38	Facility		$15.49	$43.65	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $147.91	Professional		$43.65	$79.43	$147.91