Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.48 / $336.70 / $630.29	Facility		$104.48	$336.70	$630.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.83 / $76.58 / $80.37	Professional		$63.83	$76.58	$80.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $85.10 / $418.27	Facility		$85.10	$85.10	$418.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $42.02 / $65.98	Professional		$42.02	$42.02	$65.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $149.35 / $523.12	Professional		$76.59	$149.35	$523.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.58 / $211.36 / $436.12	Facility		$99.58	$211.36	$436.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $63.13 / $168.38	Professional		$43.26	$63.13	$168.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $102.12 / $161.69	Professional		$85.10	$102.12	$161.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.81 / $133.87 / $187.14	Facility		$67.81	$133.87	$187.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $137.00 / $201.24	Professional		$88.42	$137.00	$201.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.91 / $101.75 / $4,071.00	Facility		$70.91	$101.75	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $101.75 / $7,420.00	Professional		$69.42	$101.75	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $51.06 / $118.89	Professional		$35.74	$51.06	$118.89