Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.20 / $78.20 / $78.20	Facility		$78.20	$78.20	$78.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.69 / $78.20 / $111.77	Professional		$67.69	$78.20	$111.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.01 / $130.01 / $130.01	Facility		$130.01	$130.01	$130.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.57 / $107.57 / $107.57	Professional		$107.57	$107.57	$107.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $102.42 / $102.42	Professional		$102.42	$102.42	$102.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $104.45	Facility		$88.16	$88.16	$104.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $88.16 / $115.71	Professional		$74.94	$88.16	$115.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $106.95 / $149.72	Professional		$94.37	$106.95	$149.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.22 / $72.45 / $158.15	Facility		$50.22	$72.45	$158.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $118.00	Professional		$118.00	$118.00	$118.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $72.98 / $142.18	Facility		$8.86	$72.98	$142.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $56.44 / $137.74	Professional		$8.86	$56.44	$137.74
United Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $75.23 / $118.18	Professional		$64.02	$75.23	$118.18