Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.93 / $271.58 / $430.66	Facility		$109.93	$271.58	$430.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $107.34 / $109.93	Professional		$97.00	$107.34	$109.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.33 / $129.33 / $629.84	Facility		$129.33	$129.33	$629.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $51.73 / $78.23	Professional		$51.73	$51.73	$78.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $232.35 / $355.10 / $531.55	Professional		$232.35	$355.10	$531.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $224.45 / $586.36	Facility		$85.00	$224.45	$586.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $67.25 / $148.68	Professional		$46.91	$67.25	$148.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $161.66 / $191.41	Professional		$155.19	$161.66	$191.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.76 / $94.19 / $109.93	Facility		$65.76	$94.19	$109.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.89 / $120.65 / $192.00	Professional		$107.89	$120.65	$192.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $90.53 / $150.38 / $4,071.00	Facility		$90.53	$150.38	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $153.55 / $4,071.00	Professional		$90.53	$153.55	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $58.20 / $84.06	Professional		$46.03	$58.20	$84.06