Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $115.00 / $228.68	Facility		$100.09	$115.00	$228.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $101.09 / $111.19	Professional		$100.09	$101.09	$111.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $207.19 / $327.29	Facility		$100.09	$207.19	$327.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $134.16	Professional		$100.09	$100.09	$134.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.30 / $100.30	Professional		$100.09	$100.30	$100.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.42 / $94.42 / $100.09	Facility		$94.42	$94.42	$100.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $100.09	Professional		$100.09	$100.09	$100.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.08 / $100.09 / $125.64	Professional		$85.08	$100.09	$125.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.37 / $105.09 / $163.19	Facility		$79.37	$105.09	$163.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $123.29 / $221.69	Professional		$98.27	$123.29	$221.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $115.10 / $150.13	Facility		$100.09	$115.10	$150.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $115.10 / $150.13	Professional		$100.09	$115.10	$150.13
United Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $106.10 / $112.59	Professional		$100.09	$106.10	$112.59