Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.51 / $85.18 / $85.18	Facility		$70.51	$85.18	$85.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.51 / $85.18 / $89.42	Professional		$70.51	$85.18	$89.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.27 / $172.27 / $182.95	Facility		$172.27	$172.27	$182.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.10 / $82.10 / $102.63	Professional		$82.10	$82.10	$102.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $92.00 / $117.76	Professional		$92.00	$92.00	$117.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $85.16 / $85.16	Facility		$85.16	$85.16	$85.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $62.17 / $90.78	Professional		$62.17	$62.17	$90.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.59 / $155.04 / $206.72	Professional		$120.59	$155.04	$206.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.89 / $103.88 / $193.30	Facility		$43.89	$103.88	$193.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $215.34 / $286.95	Professional		$90.00	$215.34	$286.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $99.37 / $130.02 / $215.34	Facility		$99.37	$130.02	$215.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $130.02 / $215.34	Professional		$99.37	$130.02	$215.34
United Facility/Professional Professional Modifier Low / Median / High Price $61.73 / $85.94 / $129.47	Professional		$61.73	$85.94	$129.47