Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.06 / $84.23 / $136.75	Facility		$74.06	$84.23	$136.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $94.48 / $142.99	Professional		$74.06	$94.48	$142.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Facility		$68.73	$68.73	$68.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $118.03 / $135.13	Professional		$76.70	$118.03	$135.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $115.10 / $115.10 / $197.97	Professional		$115.10	$115.10	$197.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $176.58	Facility		$176.58	$176.58	$176.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $103.94 / $171.00	Professional		$66.00	$103.94	$171.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $99.54 / $131.61	Professional		$77.42	$99.54	$131.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.04 / $109.38 / $160.86	Facility		$90.04	$109.38	$160.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.86 / $141.00 / $193.00	Professional		$126.86	$141.00	$193.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $101.51 / $146.01 / $216.24	Facility		$101.51	$146.01	$216.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $102.21 / $146.63 / $217.09	Professional		$102.21	$146.63	$217.09
United Facility/Professional Facility Modifier Low / Median / High Price $91.77 / $91.77 / $100.95	Facility		$91.77	$91.77	$100.95
United Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $109.21 / $178.27	Professional		$82.95	$109.21	$178.27