Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $51.07 / $129.13	Facility		$51.07	$51.07	$129.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $51.07 / $60.49	Professional		$42.28	$51.07	$60.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.30 / $103.30 / $109.70	Facility		$103.30	$103.30	$109.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $58.04 / $71.87	Professional		$58.04	$58.04	$71.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $54.27 / $70.62	Professional		$54.27	$54.27	$70.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.26 / $59.92 / $59.92	Facility		$22.26	$59.92	$59.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $43.74 / $69.79	Professional		$43.74	$43.74	$69.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $92.97 / $123.96	Professional		$72.31	$92.97	$123.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $56.60 / $109.16	Facility		$30.89	$56.60	$109.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $124.00 / $172.06	Professional		$24.00	$124.00	$172.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.82 / $77.55 / $126.31	Facility		$27.82	$77.55	$126.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $77.55 / $126.31	Professional		$27.82	$77.55	$126.31
United Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $51.53 / $77.43	Professional		$30.60	$51.53	$77.43