Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.69 / $95.85 / $190.39	Facility		$47.69	$95.85	$190.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $40.40 / $47.69	Professional		$35.35	$40.40	$47.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $50.50 / $245.94	Facility		$50.50	$50.50	$245.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $24.94 / $30.55	Professional		$24.94	$24.94	$30.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.59 / $228.61 / $342.22	Professional		$149.59	$228.61	$342.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $129.37 / $258.31	Facility		$35.29	$129.37	$258.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $33.67 / $57.82	Professional		$28.62	$33.67	$57.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $63.13 / $74.73	Professional		$60.60	$63.13	$74.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $47.69	Facility		$36.78	$36.78	$47.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $72.39 / $123.00	Professional		$69.42	$72.39	$123.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.28 / $67.29 / $4,071.00	Facility		$39.28	$67.29	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $67.29 / $4,071.00	Professional		$39.28	$67.29	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $29.80 / $42.34	Professional		$21.21	$29.80	$42.34