Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.61 / $127.85 / $253.95	Facility		$63.61	$127.85	$253.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $55.91 / $63.61	Professional		$50.52	$55.91	$63.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $67.36 / $328.04	Facility		$67.36	$67.36	$328.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $33.26 / $40.75	Professional		$33.26	$33.26	$40.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.51 / $304.92 / $456.43	Professional		$199.51	$304.92	$456.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.07 / $166.97 / $345.58	Facility		$47.07	$166.97	$345.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $45.21 / $77.23	Professional		$38.17	$45.21	$77.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $84.20 / $99.69	Professional		$80.83	$84.20	$99.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $35.70 / $63.61	Facility		$35.70	$35.70	$63.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $92.59 / $166.00	Professional		$54.05	$92.59	$166.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.39 / $88.38 / $4,071.00	Facility		$52.39	$88.38	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $89.75 / $4,071.00	Professional		$52.39	$89.75	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $40.42 / $56.47	Professional		$28.29	$40.42	$56.47