Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.17 / $73.90 / $73.90	Facility		$61.17	$73.90	$73.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.77 / $72.18 / $73.90	Professional		$55.77	$72.18	$73.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.46 / $149.46 / $158.72	Facility		$149.46	$149.46	$158.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $72.28 / $93.40	Professional		$72.28	$72.28	$93.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $75.09 / $79.89	Facility		$75.09	$75.09	$79.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $54.82 / $75.09	Professional		$54.82	$54.82	$75.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.62 / $134.51 / $179.35	Professional		$104.62	$134.51	$179.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.70 / $87.00 / $167.68	Facility		$38.70	$87.00	$167.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $186.83 / $248.96	Professional		$68.00	$186.83	$248.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $112.78 / $186.83	Facility		$86.21	$112.78	$186.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $112.78 / $186.83	Professional		$86.21	$112.78	$186.83
United Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $74.56 / $112.31	Professional		$54.43	$74.56	$112.31