Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $135.19 / $249.62	Facility		$60.55	$135.19	$249.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $59.12 / $60.55	Professional		$53.42	$59.12	$60.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $71.23 / $346.89	Facility		$71.23	$71.23	$346.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $28.49 / $43.09	Professional		$28.49	$28.49	$43.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $155.01 / $236.91 / $354.63	Professional		$155.01	$236.91	$354.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.77 / $132.44 / $323.61	Facility		$49.77	$132.44	$323.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $42.74 / $81.77	Professional		$32.46	$42.74	$81.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $89.04 / $105.42	Professional		$85.48	$89.04	$105.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $51.88 / $60.55	Facility		$44.93	$51.88	$60.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $80.43 / $129.00	Professional		$71.94	$80.43	$129.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $84.57 / $4,071.00	Facility		$52.00	$84.57	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $84.57 / $4,071.00	Professional		$49.86	$84.57	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $35.61 / $46.30	Professional		$29.92	$35.61	$46.30