Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $46.37 / $46.37	Facility		$38.39	$46.37	$46.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $46.37 / $57.60	Professional		$38.39	$46.37	$57.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.80 / $93.80 / $99.62	Facility		$93.80	$93.80	$99.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $52.58 / $69.90	Professional		$52.58	$52.58	$69.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $64.12	Professional		$50.00	$50.00	$64.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $66.78 / $66.78	Facility		$66.78	$66.78	$66.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $66.78	Professional		$48.75	$48.75	$66.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $84.42 / $112.56	Professional		$65.66	$84.42	$112.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $57.67 / $106.77	Facility		$28.31	$57.67	$106.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $117.25 / $156.24	Professional		$65.00	$117.25	$156.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $54.10 / $70.78 / $117.25	Facility		$54.10	$70.78	$117.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $54.10 / $70.78 / $117.25	Professional		$54.10	$70.78	$117.25
United Facility/Professional Facility Modifier Low / Median / High Price $117.18 / $117.18 / $140.62	Facility		$117.18	$117.18	$140.62
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.79 / $70.47	Professional		$39.81	$46.79	$70.47