Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $83.89 / $166.81	Facility		$75.91	$83.89	$166.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $79.70 / $129.04	Professional		$75.90	$79.70	$129.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $160.16 / $258.08	Facility		$75.91	$160.16	$258.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Professional		$75.91	$75.91	$75.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $106.92 / $161.35	Professional		$93.96	$106.92	$161.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $71.61 / $75.91	Facility		$71.61	$71.61	$75.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Professional		$75.91	$75.91	$75.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $91.09 / $94.68	Professional		$64.52	$91.09	$94.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $81.94 / $87.62	Facility		$75.91	$81.94	$87.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Professional		$44.00	$44.00	$44.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.11 / $75.91 / $97.16	Facility		$72.11	$75.91	$97.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.11 / $75.91 / $97.16	Professional		$72.11	$75.91	$97.16
United Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $75.91 / $94.68	Professional		$74.68	$75.91	$94.68