Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $186.21 / $363.08	Facility		$72.44	$186.21	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $112.20	Professional		$67.61	$81.28	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $389.05	Facility		$97.72	$97.72	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $69.18	Professional		$38.90	$38.90	$69.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $257.04 / $389.05	Professional		$79.43	$257.04	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $234.42 / $436.52	Facility		$100.00	$234.42	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $141.25	Professional		$47.86	$60.26	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $107.15 / $134.90	Professional		$97.72	$107.15	$134.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $117.49 / $177.83	Facility		$77.62	$117.49	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $177.83 / $204.17	Professional		$63.10	$177.83	$204.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $128.82 / $10,000.00	Facility		$83.18	$128.82	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $10,000.00	Professional		$83.18	$128.82	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $97.72 / $117.49	Facility		$58.88	$97.72	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $112.20	Professional		$40.74	$48.98	$112.20