Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.67 / $94.98 / $643.77	Facility		$39.67	$94.98	$643.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $129.53 / $137.06	Professional		$123.35	$129.53	$137.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.95 / $221.84 / $334.78	Professional		$194.95	$221.84	$334.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $116.38 / $123.36	Facility		$116.38	$116.38	$123.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $139.34 / $148.03	Professional		$104.86	$139.34	$148.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.66 / $123.36 / $197.62	Facility		$70.66	$123.36	$197.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $72.00	Professional		$72.00	$72.00	$72.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $125.32 / $157.90	Facility		$117.19	$125.32	$157.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $125.32 / $157.90	Professional		$117.19	$125.32	$157.90
United Facility/Professional Professional Modifier Low / Median / High Price $119.66 / $123.36 / $139.34	Professional		$119.66	$123.36	$139.34