Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $75.86 / $194.98	Facility		$61.66	$75.86	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $162.18	Professional		$61.66	$77.62	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $165.96	Facility		$154.88	$154.88	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $169.82	Professional		$81.28	$81.28	$169.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $107.15	Professional		$81.28	$81.28	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $91.20 / $91.20	Facility		$58.88	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $91.20	Professional		$66.07	$66.07	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $218.78	Professional		$109.65	$154.88	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $154.88	Professional		$83.18	$102.33	$154.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $104.71 / $194.98	Facility		$63.10	$104.71	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $194.98	Professional		$83.18	$83.18	$194.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $128.82 / $446.68	Facility		$89.13	$128.82	$446.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $446.68	Professional		$89.13	$128.82	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $69.18 / $190.55	Facility		$39.81	$69.18	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $123.03	Professional		$69.18	$75.86	$123.03