Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.69 / $88.24 / $233.81	Facility		$86.69	$88.24	$233.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $86.69 / $88.24	Professional		$74.51	$86.69	$88.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.51 / $726.41 / $917.33	Facility		$566.51	$726.41	$917.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $42.05 / $42.05	Professional		$42.05	$42.05	$42.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $166.02 / $248.51	Professional		$108.63	$166.02	$248.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $168.21 / $424.55	Facility		$4.78	$168.21	$424.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $58.83 / $93.68	Professional		$28.82	$58.83	$93.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $101.28 / $103.62	Professional		$99.48	$101.28	$103.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $45.17 / $86.69	Facility		$38.97	$45.17	$86.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $64.89 / $83.17	Professional		$38.97	$64.89	$83.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.82 / $118.91 / $4,071.00	Facility		$56.82	$118.91	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $121.41 / $4,071.00	Professional		$61.60	$121.41	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $51.15 / $61.37	Professional		$30.41	$51.15	$61.37