Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $91.03 / $181.01	Facility		$79.26	$91.03	$181.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $83.22 / $83.22	Professional		$79.26	$83.22	$83.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $167.24 / $269.48	Facility		$79.26	$167.24	$269.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Professional		$79.26	$79.26	$79.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $105.66 / $120.24 / $181.45	Professional		$105.66	$120.24	$181.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.77 / $74.77 / $79.26	Facility		$74.77	$74.77	$79.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Professional		$79.26	$79.26	$79.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $91.75 / $95.11	Professional		$67.37	$91.75	$95.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $79.26 / $108.11	Facility		$79.26	$79.26	$108.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $73.86 / $76.88 / $101.45	Facility		$73.86	$76.88	$101.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $73.86 / $76.88 / $101.45	Professional		$73.86	$76.88	$101.45
United Facility/Professional Professional Modifier Low / Median / High Price $76.88 / $79.26 / $91.75	Professional		$76.88	$79.26	$91.75