Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.58 / $238.20 / $309.67	Facility		$105.58	$238.20	$309.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.25 / $80.25 / $165.63	Professional		$80.25	$80.25	$165.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $94.41 / $195.43	Facility		$94.41	$94.41	$195.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $89.68 / $129.47	Professional		$61.36	$89.68	$129.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $185.40 / $414.08	Professional		$88.00	$185.40	$414.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.37 / $302.33 / $532.96	Facility		$229.37	$302.33	$532.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.51 / $87.51 / $114.97	Professional		$87.51	$87.51	$114.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.41 / $113.29 / $118.01	Professional		$94.41	$113.29	$118.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.25 / $122.73 / $162.88	Facility		$80.25	$122.73	$162.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $141.62 / $176.00	Professional		$111.00	$141.62	$176.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.75 / $123.21 / $441.27	Facility		$91.75	$123.21	$441.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $91.75 / $123.21 / $441.27	Professional		$91.75	$123.21	$441.27
United Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $42.48 / $70.58	Professional		$39.53	$42.48	$70.58