Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.68 / $64.90 / $98.01	Facility		$62.68	$64.90	$98.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.71 / $89.09 / $157.90	Professional		$55.71	$89.09	$157.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.98 / $95.96 / $151.16	Professional		$63.98	$95.96	$151.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $55.70 / $106.45	Professional		$54.59	$55.70	$106.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $100.41 / $187.63	Professional		$64.62	$100.41	$187.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.22 / $112.69 / $160.97	Professional		$91.22	$112.69	$160.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.68 / $93.86 / $152.15	Facility		$62.68	$93.86	$152.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $127.00 / $183.00	Professional		$111.00	$127.00	$183.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $82.67 / $133.81	Facility		$66.45	$82.67	$133.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $91.75 / $115.74 / $188.32	Professional		$91.75	$115.74	$188.32
United Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $103.76 / $174.63	Professional		$67.64	$103.76	$174.63