Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $81.73 / $81.73	Facility		$81.73	$81.73	$81.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.73 / $102.41	Professional		$72.44	$81.73	$102.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.43 / $133.43 / $133.43	Facility		$133.43	$133.43	$133.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $110.43 / $110.43	Professional		$110.43	$110.43	$110.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $88.19 / $96.09	Professional		$88.19	$88.19	$96.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $96.42 / $103.92	Facility		$96.42	$96.42	$103.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $96.42 / $123.52	Professional		$81.96	$96.42	$123.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.97 / $120.18 / $146.77	Professional		$98.97	$120.18	$146.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $74.15 / $133.43	Facility		$42.97	$74.15	$133.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Professional		$101.00	$101.00	$101.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.72 / $15.38 / $109.96	Facility		$8.72	$15.38	$109.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $15.38 / $108.98	Professional		$8.72	$15.38	$108.98
United Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $66.56 / $89.87	Professional		$60.16	$66.56	$89.87