Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $676.08 / $1,258.93	Facility		$239.88	$676.08	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $371.54	Professional		$213.80	$257.04	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $1,288.25	Facility		$323.59	$323.59	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $10.47	Professional		$5.89	$5.89	$10.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $263.03 / $295.12	Professional		$251.19	$263.03	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $794.33 / $1,659.59	Facility		$331.13	$794.33	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $467.74	Professional		$208.93	$389.05	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $457.09	Professional		$323.59	$354.81	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $389.05 / $562.34	Facility		$257.04	$389.05	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $676.08	Professional		$234.42	$234.42	$676.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $323.59 / $630.96	Facility		$223.87	$323.59	$630.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $630.96	Professional		$223.87	$323.59	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $323.59 / $389.05	Facility		$213.80	$323.59	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $416.87	Professional		$134.90	$177.83	$416.87