Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.19 / $93.26 / $93.26	Facility		$77.19	$93.26	$93.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $93.26 / $105.89	Professional		$77.19	$93.26	$105.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.61 / $188.61 / $200.30	Facility		$188.61	$188.61	$200.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.22 / $107.22 / $137.87	Professional		$107.22	$107.22	$137.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $101.00 / $128.93	Professional		$101.00	$101.00	$128.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.83 / $110.16 / $110.16	Facility		$100.83	$110.16	$110.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $80.42 / $110.16	Professional		$80.42	$80.42	$110.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.03 / $169.75 / $226.33	Professional		$132.03	$169.75	$226.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.78 / $110.38 / $211.65	Facility		$56.78	$110.38	$211.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $235.76 / $314.16	Professional		$99.00	$235.76	$314.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $103.35 / $142.36 / $235.76	Facility		$103.35	$142.36	$235.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $103.35 / $142.36 / $235.76	Professional		$103.35	$142.36	$235.76
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $94.10 / $141.38	Professional		$79.86	$94.10	$141.38