Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.02 / $76.02 / $76.83	Facility		$76.02	$76.02	$76.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $76.02 / $82.32	Professional		$70.80	$76.02	$82.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.13 / $144.13 / $153.08	Facility		$144.13	$144.13	$153.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.33 / $87.33 / $109.17	Professional		$87.33	$87.33	$109.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $77.00 / $98.53	Professional		$77.00	$77.00	$98.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.05 / $90.07 / $90.07	Facility		$77.05	$90.07	$90.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $65.75 / $90.07	Professional		$65.75	$65.75	$90.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $129.72 / $172.97	Professional		$100.90	$129.72	$172.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $91.43 / $164.09	Facility		$46.42	$91.43	$164.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $189.34 / $240.10	Professional		$81.00	$189.34	$240.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $108.32 / $180.18	Facility		$82.00	$108.32	$180.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $108.32 / $180.18	Professional		$82.00	$108.32	$180.18
United Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $71.91 / $110.81	Professional		$64.98	$71.91	$110.81