Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.77 / $142.94 / $1,064.05	Facility		$54.77	$142.94	$1,064.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $48.14 / $54.77	Professional		$43.50	$48.14	$54.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $58.00 / $282.45	Facility		$58.00	$58.00	$282.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $28.64 / $35.09	Professional		$28.64	$28.64	$35.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $171.76 / $262.50 / $392.95	Professional		$171.76	$262.50	$392.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $66.48 / $83.12	Professional		$66.48	$66.48	$83.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $72.50 / $85.84	Professional		$69.59	$72.50	$85.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $62.76 / $62.76	Facility		$48.61	$62.76	$62.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $79.72 / $143.00	Professional		$40.22	$79.72	$143.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.11 / $81.02 / $4,071.00	Facility		$45.11	$81.02	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $79.66 / $4,071.00	Professional		$45.11	$79.66	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $34.28 / $48.61	Professional		$24.36	$34.28	$48.61