Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $50.69 / $50.69	Facility		$41.96	$50.69	$50.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $50.69 / $56.42	Professional		$41.96	$50.69	$56.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.52 / $102.52 / $108.88	Facility		$102.52	$102.52	$108.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $56.66 / $73.01	Professional		$56.66	$56.66	$73.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $53.86 / $70.08	Professional		$53.86	$53.86	$70.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.80 / $67.95 / $67.95	Facility		$54.80	$67.95	$67.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $49.61 / $67.95	Professional		$49.61	$49.61	$67.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $92.27 / $123.02	Professional		$71.76	$92.27	$123.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $63.06 / $115.03	Facility		$30.22	$63.06	$115.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $128.15 / $170.77	Professional		$34.00	$128.15	$170.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.38 / $77.37 / $128.15	Facility		$51.38	$77.37	$128.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $77.37 / $128.15	Professional		$51.38	$77.37	$128.15
United Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $51.14 / $77.05	Professional		$42.51	$51.14	$77.05