Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $67.61 / $173.78	Facility		$56.23	$67.61	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $117.49	Professional		$56.23	$67.61	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $147.91	Facility		$141.25	$141.25	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $162.18	Professional		$77.62	$77.62	$162.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $95.50	Professional		$74.13	$74.13	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $93.33 / $93.33	Facility		$61.66	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $93.33	Professional		$67.61	$67.61	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $194.98	Professional		$97.72	$141.25	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $138.04	Professional		$66.07	$91.20	$138.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $91.20 / $169.82	Facility		$56.23	$91.20	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $173.78	Professional		$61.66	$75.86	$173.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $114.82 / $407.38	Facility		$79.43	$114.82	$407.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $407.38	Professional		$79.43	$114.82	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $63.10 / $204.17	Facility		$42.66	$63.10	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $69.18 / $109.65	Professional		$61.66	$69.18	$109.65