Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $86.00 / $254.56	Facility		$59.89	$86.00	$254.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $70.73 / $104.17	Professional		$53.27	$70.73	$104.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.46 / $78.59 / $107.53	Professional		$62.46	$78.59	$107.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $79.56 / $165.00	Professional		$76.64	$79.56	$165.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $80.00 / $202.81	Facility		$72.00	$80.00	$202.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $87.95 / $129.02	Professional		$62.82	$87.95	$129.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $107.50 / $132.40	Professional		$90.53	$107.50	$132.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $86.17 / $129.00	Facility		$59.89	$86.17	$129.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $128.00 / $176.65	Professional		$114.00	$128.00	$176.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $98.36 / $192.98	Facility		$65.34	$98.36	$192.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $98.36 / $192.98	Professional		$65.34	$98.36	$192.98
United Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $89.00 / $115.43	Professional		$62.11	$89.00	$115.43