Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.37 / $134.32 / $212.98	Facility		$54.37	$134.32	$212.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $54.37 / $76.93	Professional		$45.00	$54.37	$76.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $63.96 / $314.36	Facility		$63.96	$63.96	$314.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $25.58 / $41.57	Professional		$25.58	$25.58	$41.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $99.78 / $281.25	Professional		$51.17	$99.78	$281.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $119.21 / $289.47	Facility		$41.57	$119.21	$289.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $38.88 / $105.71	Professional		$31.45	$38.88	$105.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $76.75 / $94.66	Professional		$63.96	$76.75	$94.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.37 / $83.15 / $132.79	Facility		$54.37	$83.15	$132.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $90.00 / $153.50	Professional		$63.96	$90.00	$153.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.45 / $76.88 / $9,929.00	Facility		$52.45	$76.88	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $76.88 / $9,929.00	Professional		$52.45	$76.88	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $57.56 / $63.96 / $95.94	Facility		$57.56	$63.96	$95.94
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $31.98 / $73.55	Professional		$26.86	$31.98	$73.55