Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $96.12 / $96.12	Facility		$91.54	$96.12	$96.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $96.12	Professional		$91.54	$91.54	$96.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $122.18	Professional		$91.54	$91.54	$122.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $86.00	Professional		$65.88	$65.88	$86.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.36 / $86.36 / $91.54	Facility		$86.36	$86.36	$91.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Professional		$91.54	$91.54	$91.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $91.54 / $190.68	Professional		$77.81	$91.54	$190.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $92.45 / $146.46	Facility		$91.54	$92.45	$146.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $110.92 / $152.83	Professional		$87.46	$110.92	$152.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $81.26 / $152.00	Facility		$67.72	$81.26	$152.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $81.26 / $152.00	Professional		$67.72	$81.26	$152.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $102.52	Professional		$91.54	$91.54	$102.52