Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $79.43 / $93.33	Facility		$67.61	$79.43	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $107.15	Professional		$67.61	$79.43	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $138.04	Professional		$72.44	$100.00	$138.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $107.15	Professional		$74.13	$87.10	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $77.62 / $147.91	Professional		$38.02	$77.62	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $107.15	Professional		$57.54	$83.18	$107.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $144.54	Professional		$100.00	$125.89	$144.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $138.04	Facility		$67.61	$89.13	$138.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $97.72 / $144.54	Facility		$74.13	$97.72	$144.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $165.96	Professional		$87.10	$109.65	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $165.96	Professional		$61.66	$100.00	$165.96