Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.52 / $102.52 / $103.61	Facility		$102.52	$102.52	$103.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $102.52 / $106.86	Professional		$94.68	$102.52	$106.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.38 / $194.38 / $206.43	Facility		$194.38	$194.38	$206.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $121.56 / $151.96	Professional		$121.56	$121.56	$151.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $108.93 / $132.87	Professional		$108.51	$108.93	$132.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $120.62	Facility		$120.62	$120.62	$120.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $88.05 / $120.62	Professional		$88.05	$88.05	$120.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.07 / $174.94 / $233.26	Professional		$136.07	$174.94	$233.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $119.54 / $218.09	Facility		$57.30	$119.54	$218.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $255.31 / $323.77	Professional		$112.00	$255.31	$323.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.50 / $147.13 / $243.39	Facility		$106.50	$147.13	$243.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $147.13 / $243.39	Professional		$106.50	$147.13	$243.39
United Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $96.97 / $159.58	Professional		$88.76	$96.97	$159.58