Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $2,041.74 / $7,079.46	Facility		$128.82	$2,041.74	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $302.00	Professional		$91.20	$147.91	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $251.19	Professional		$107.15	$162.18	$251.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $1,047.13	Professional		$112.20	$173.78	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $275.42	Professional		$112.20	$158.49	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $181.97 / $467.74	Professional		$85.11	$181.97	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $354.81	Professional		$186.21	$234.42	$354.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $165.96 / $263.03	Facility		$100.00	$165.96	$263.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $138.04 / $1,659.59	Facility		$95.50	$138.04	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $1,659.59	Professional		$134.90	$190.55	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $257.04	Professional		$89.13	$151.36	$257.04