Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $239.88 / $446.68	Facility		$85.11	$239.88	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $131.83	Professional		$75.86	$89.13	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $457.09	Facility		$114.82	$114.82	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $79.43	Professional		$45.71	$45.71	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $102.33	Professional		$89.13	$93.33	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $281.84 / $588.84	Facility		$117.49	$281.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $141.25 / $165.96	Professional		$67.61	$141.25	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $158.49	Professional		$114.82	$125.89	$158.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $125.89 / $190.55	Facility		$91.20	$125.89	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $239.88	Professional		$74.13	$114.82	$239.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $114.82 / $213.80	Facility		$79.43	$114.82	$213.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $223.87	Professional		$79.43	$114.82	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $114.82 / $138.04	Facility		$69.18	$114.82	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $131.83	Professional		$47.86	$57.54	$131.83