Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.04 / $223.31 / $582.84	Facility		$197.04	$223.31	$582.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.04 / $215.43 / $223.31	Professional		$197.04	$215.43	$223.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $997.81 / $1,279.45 / $1,615.73	Facility		$997.81	$1,279.45	$1,615.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.82 / $205.82 / $313.73	Professional		$205.82	$205.82	$313.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $210.18 / $210.18 / $409.85	Professional		$210.18	$210.18	$409.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.77 / $438.88 / $1,345.29	Facility		$170.77	$438.88	$1,345.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.02 / $320.02 / $383.42	Professional		$320.02	$320.02	$383.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.72 / $315.26 / $388.83	Professional		$262.72	$315.26	$388.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $197.04 / $262.72 / $446.62	Facility		$197.04	$262.72	$446.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $170.77 / $520.19 / $630.53	Professional		$170.77	$520.19	$630.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $183.90 / $298.70 / $487.77	Facility		$183.90	$298.70	$487.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $183.90 / $302.13 / $486.03	Professional		$183.90	$302.13	$486.03
United Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $136.61 / $302.13	Professional		$110.34	$136.61	$302.13