Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $76.06 / $113.86	Facility		$73.43	$76.06	$113.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $103.62 / $185.03	Professional		$67.84	$103.62	$185.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $111.91 / $174.63	Professional		$77.06	$111.91	$174.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $65.28 / $123.63	Professional		$63.40	$65.28	$123.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $104.52 / $104.52	Facility		$104.52	$104.52	$104.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $121.63 / $217.51	Professional		$78.63	$121.63	$217.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $131.85 / $188.36	Professional		$106.73	$131.85	$188.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $111.87 / $182.22	Facility		$73.43	$111.87	$182.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $133.35 / $158.00 / $212.00	Professional		$133.35	$158.00	$212.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $81.43 / $99.31 / $155.84	Facility		$81.43	$99.31	$155.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $141.46 / $218.32	Professional		$114.79	$141.46	$218.32
United Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $126.13 / $212.00	Professional		$87.53	$126.13	$212.00