Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.46 / $135.50 / $551.49	Facility		$51.46	$135.50	$551.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $83.83 / $149.27	Professional		$44.81	$83.83	$149.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $115.30 / $209.42	Professional		$44.09	$115.30	$209.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $49.27 / $98.54	Professional		$48.73	$49.27	$98.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $172.06 / $627.54	Facility		$71.19	$172.06	$627.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.26 / $124.10 / $225.80	Professional		$47.26	$124.10	$225.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.47 / $148.93 / $235.45	Professional		$113.47	$148.93	$235.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.57 / $115.64 / $221.35	Facility		$46.57	$115.64	$221.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $170.00 / $236.61	Professional		$140.00	$170.00	$236.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.11 / $66.87 / $109.04	Facility		$45.11	$66.87	$109.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $193.98 / $300.14	Professional		$129.16	$193.98	$300.14
United Facility/Professional Facility Modifier Low / Median / High Price $370.96 / $411.13 / $1,303.93	Facility		$370.96	$411.13	$1,303.93
United Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $143.84 / $235.11	Professional		$103.34	$143.84	$235.11