Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.27 / $111.27 / $112.45	Facility		$111.27	$111.27	$112.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $111.27 / $116.01	Professional		$102.75	$111.27	$116.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.96 / $210.96 / $224.04	Facility		$210.96	$210.96	$224.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $170.35 / $209.46	Professional		$170.35	$170.35	$209.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $123.26 / $144.21	Professional		$123.26	$123.26	$144.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $171.65	Facility		$171.65	$171.65	$171.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $145.90 / $171.65	Professional		$145.90	$145.90	$171.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $189.86 / $253.15	Professional		$147.66	$189.86	$253.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $141.47 / $240.15	Facility		$112.45	$141.47	$240.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $277.10 / $351.40	Professional		$163.16	$277.10	$351.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $115.58 / $165.12 / $251.79	Facility		$115.58	$165.12	$251.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $115.58 / $165.12 / $251.79	Professional		$115.58	$165.12	$251.79
United Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $105.25 / $158.55	Professional		$96.36	$105.25	$158.55