Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $70.64 / $1,746.59	Facility		$67.27	$70.64	$1,746.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $70.64	Professional		$67.27	$67.27	$70.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $89.79	Professional		$67.27	$67.27	$89.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $58.69 / $58.69	Professional		$58.69	$58.69	$58.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $63.47 / $67.27	Facility		$63.47	$63.47	$67.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Professional		$67.27	$67.27	$67.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $67.27 / $199.01	Professional		$57.18	$67.27	$199.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $70.64 / $113.69	Facility		$67.27	$70.64	$113.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $133.00 / $133.00	Professional		$67.27	$133.00	$133.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $79.58 / $197.06	Facility		$66.31	$79.58	$197.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $79.58 / $197.06	Professional		$66.31	$79.58	$197.06
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $71.78	Professional		$67.27	$67.27	$71.78