Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.03 / $139.26 / $262.67	Facility		$55.03	$139.26	$262.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $60.16 / $62.36	Professional		$55.03	$60.16	$62.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $73.37 / $360.61	Facility		$73.37	$73.37	$360.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $48.23	Professional		$30.18	$30.18	$48.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $66.03 / $128.76	Professional		$58.70	$66.03	$128.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.69 / $137.09 / $375.74	Facility		$47.69	$137.09	$375.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $44.64 / $121.37	Professional		$35.67	$44.64	$121.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $88.04 / $108.59	Professional		$73.37	$88.04	$108.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.08 / $84.38 / $125.23	Facility		$61.08	$84.38	$125.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $106.00 / $176.09	Professional		$73.00	$106.00	$176.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $82.17 / $4,071.00	Facility		$60.16	$82.17	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $82.17 / $4,071.00	Professional		$60.16	$82.17	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $38.15 / $86.76	Professional		$30.82	$38.15	$86.76