Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $65.86 / $130.94	Facility		$56.10	$65.86	$130.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $58.91 / $58.91	Professional		$56.10	$58.91	$58.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $118.37 / $190.74	Facility		$56.10	$118.37	$190.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.91 / $81.81 / $123.48	Professional		$71.91	$81.81	$123.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $52.93 / $56.10	Facility		$52.93	$52.93	$56.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $67.31 / $72.11	Professional		$47.69	$67.31	$72.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $85.09	Facility		$56.10	$56.10	$85.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.30 / $58.10 / $71.81	Facility		$53.30	$58.10	$71.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.30 / $58.10 / $71.81	Professional		$53.30	$58.10	$71.81
United Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Facility		$56.10	$56.10	$56.10
United Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $56.10 / $70.41	Professional		$55.19	$56.10	$70.41