Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.08 / $84.08 / $84.97	Facility		$84.08	$84.08	$84.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.97 / $84.08 / $96.80	Professional		$74.97	$84.08	$96.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.41 / $159.41 / $169.29	Facility		$159.41	$159.41	$169.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.24 / $93.24 / $116.55	Professional		$93.24	$93.24	$116.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $108.97	Professional		$85.00	$85.00	$108.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $99.32	Facility		$99.32	$99.32	$99.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $72.50 / $99.32	Professional		$72.50	$72.50	$99.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.59 / $143.47 / $191.29	Professional		$111.59	$143.47	$191.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.45 / $98.37 / $181.47	Facility		$49.45	$98.37	$181.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $209.39 / $265.52	Professional		$86.00	$209.39	$265.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.35 / $119.81 / $199.26	Facility		$87.35	$119.81	$199.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $119.81 / $199.26	Professional		$87.35	$119.81	$199.26
United Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $79.53 / $119.81	Professional		$71.89	$79.53	$119.81