Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.84 / $173.47 / $635.54	Facility		$71.84	$173.47	$635.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $81.43 / $135.07	Professional		$71.84	$81.43	$135.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $95.80 / $470.86	Facility		$95.80	$95.80	$470.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $57.48 / $87.61	Professional		$57.48	$57.48	$87.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $149.44 / $530.29	Professional		$76.64	$149.44	$530.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.09 / $237.35 / $450.06	Facility		$112.09	$237.35	$450.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $75.81 / $170.30	Professional		$56.87	$75.81	$170.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $114.96 / $180.78	Professional		$95.80	$114.96	$180.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.75 / $147.15 / $187.14	Facility		$79.75	$147.15	$187.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $124.00 / $226.39	Professional		$96.00	$124.00	$226.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $75.06 / $107.30 / $4,071.00	Facility		$75.06	$107.30	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $107.30 / $4,071.00	Professional		$75.06	$107.30	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $50.30 / $130.41	Professional		$40.24	$50.30	$130.41