Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $295.12 / $389.05	Facility		$117.49	$295.12	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $151.36	Professional		$102.33	$123.03	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $812.83 / $977.24	Facility		$630.96	$812.83	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $23.44	Professional		$13.18	$13.18	$23.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $141.25	Professional		$120.23	$128.82	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $389.05 / $794.33	Facility		$158.49	$389.05	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $229.09	Professional		$190.55	$190.55	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $218.78	Professional		$158.49	$173.78	$218.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $151.36 / $245.47	Facility		$117.49	$151.36	$245.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $331.13	Professional		$102.33	$102.33	$331.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $177.83 / $323.59	Facility		$109.65	$177.83	$323.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $323.59	Professional		$109.65	$181.97	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $158.49 / $186.21	Facility		$93.33	$158.49	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $181.97	Professional		$66.07	$77.62	$181.97