Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $17.88 / $132.36	Facility		$17.88	$17.88	$132.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.88 / $115.58 / $132.36	Professional		$17.88	$115.58	$132.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $147.90 / $205.35	Professional		$114.54	$147.90	$205.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.07 / $147.07 / $169.13	Professional		$147.07	$147.07	$169.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $142.05 / $142.05	Facility		$15.73	$142.05	$142.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $145.90 / $307.64	Professional		$108.64	$145.90	$307.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.81 / $150.19 / $174.65	Professional		$129.81	$150.19	$174.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $40.38 / $157.34	Facility		$17.88	$40.38	$157.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $151.00 / $231.00	Professional		$127.00	$151.00	$231.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $183.07 / $4,071.00	Facility		$34.29	$183.07	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $183.07 / $4,071.00	Professional		$34.29	$183.07	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $132.56 / $215.39	Professional		$89.70	$132.56	$215.39