Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.34 / $100.68 / $100.68	Facility		$83.34	$100.68	$100.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $100.68 / $115.42	Professional		$83.34	$100.68	$115.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.62 / $203.62 / $216.24	Facility		$203.62	$203.62	$216.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.05 / $117.05 / $149.05	Professional		$117.05	$117.05	$149.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $109.00 / $139.19	Professional		$109.00	$109.00	$139.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $124.31	Facility		$124.31	$124.31	$124.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $124.31	Professional		$90.75	$90.75	$124.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $183.26 / $244.34	Professional		$142.53	$183.26	$244.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.89 / $119.40 / $228.48	Facility		$61.89	$119.40	$228.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $254.53 / $339.17	Professional		$108.00	$254.53	$339.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $111.57 / $153.68 / $254.53	Facility		$111.57	$153.68	$254.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $111.57 / $153.68 / $254.53	Professional		$111.57	$153.68	$254.53
United Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $101.59 / $152.06	Professional		$87.05	$101.59	$152.06