Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $75.36 / $149.86	Facility		$65.63	$75.36	$149.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $68.91 / $68.91	Professional		$65.63	$68.91	$68.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $138.47 / $223.14	Facility		$65.63	$138.47	$223.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $100.06 / $150.99	Professional		$87.93	$100.06	$150.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.91 / $61.91 / $65.63	Facility		$61.91	$61.91	$65.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $76.76 / $78.76	Professional		$55.79	$76.76	$78.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $70.37 / $102.48	Facility		$65.63	$70.37	$102.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $56.00	Professional		$56.00	$56.00	$56.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $65.25 / $84.01	Facility		$61.48	$65.25	$84.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $65.25 / $84.01	Professional		$61.48	$65.25	$84.01
United Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $105.40 / $105.40	Facility		$63.88	$105.40	$105.40
United Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $65.63 / $76.76	Professional		$63.66	$65.63	$76.76