Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.28 / $195.49 / $388.31	Facility		$97.28	$195.49	$388.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $85.49 / $97.28	Professional		$77.25	$85.49	$97.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $103.00 / $501.61	Facility		$103.00	$103.00	$501.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.87 / $50.87 / $62.31	Professional		$50.87	$50.87	$62.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $304.95 / $466.07 / $697.67	Professional		$304.95	$466.07	$697.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $271.08 / $528.41	Facility		$71.98	$271.08	$528.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $68.67 / $118.12	Professional		$58.37	$68.67	$118.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $128.75 / $152.44	Professional		$123.60	$128.75	$152.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.40 / $111.45 / $111.45	Facility		$82.40	$111.45	$111.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $160.87 / $188.00	Professional		$141.60	$160.87	$188.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $80.12 / $137.24 / $4,071.00	Facility		$80.12	$137.24	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $137.24 / $4,071.00	Professional		$80.12	$137.24	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $60.77 / $84.53	Professional		$43.26	$60.77	$84.53