Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $73.20 / $187.80	Facility		$69.73	$73.20	$187.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $73.20 / $73.20	Professional		$69.73	$73.20	$73.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $69.73	Professional		$69.73	$69.73	$69.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $92.79 / $195.92	Professional		$69.73	$92.79	$195.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $65.78 / $69.73	Facility		$65.78	$65.78	$69.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $95.63	Professional		$69.73	$69.73	$95.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $69.73 / $147.97	Professional		$52.30	$69.73	$147.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $73.20 / $98.44	Facility		$69.73	$73.20	$98.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $73.20 / $135.00	Professional		$69.73	$73.20	$135.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $89.25 / $106.88	Facility		$66.23	$89.25	$106.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $89.25 / $106.88	Professional		$66.23	$89.25	$106.88
United Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $69.73 / $73.98	Professional		$27.89	$69.73	$73.98