Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $102.79 / $1,901.33	Facility		$66.31	$102.79	$1,901.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $73.25 / $121.29	Professional		$58.73	$73.25	$121.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $81.09 / $123.80	Professional		$63.13	$81.09	$123.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $93.04 / $177.71	Professional		$83.74	$93.04	$177.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $720.00 / $1,267.00	Facility		$80.95	$720.00	$1,267.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $88.52 / $148.19	Professional		$68.98	$88.52	$148.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $77.18 / $112.10	Professional		$63.27	$77.18	$112.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $89.12 / $150.00	Facility		$66.37	$89.12	$150.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $101.58 / $139.00	Professional		$89.00	$101.58	$139.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.61 / $88.90 / $138.63	Facility		$72.61	$88.90	$138.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $88.90 / $138.63	Professional		$72.61	$88.90	$138.63
United Facility/Professional Facility Modifier Low / Median / High Price $840.00 / $840.00 / $900.00	Facility		$840.00	$840.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $77.09 / $124.57	Professional		$53.72	$77.09	$124.57