Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $77.59 / $77.59	Facility		$46.21	$77.59	$77.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $77.59 / $77.59	Professional		$46.21	$77.59	$77.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $106.33 / $112.92	Facility		$106.33	$106.33	$112.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $84.10 / $105.13	Professional		$84.10	$84.10	$105.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $87.59 / $87.59	Professional		$87.59	$87.59	$87.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $76.68 / $76.68	Facility		$76.68	$76.68	$76.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $55.98 / $76.68	Professional		$55.98	$55.98	$76.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $92.13 / $144.78	Professional		$67.41	$92.13	$144.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $87.68 / $162.85	Facility		$46.25	$87.68	$162.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $153.00 / $200.83	Professional		$90.00	$153.00	$200.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $78.63 / $112.02 / $166.37	Facility		$78.63	$112.02	$166.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $112.02 / $166.37	Professional		$78.63	$112.02	$166.37
United Facility/Professional Facility Modifier Low / Median / High Price $53.97 / $71.01 / $76.23	Facility		$53.97	$71.01	$76.23
United Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $78.29 / $117.63	Professional		$65.05	$78.29	$117.63