Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $114.96 / $333.97	Facility		$94.74	$114.96	$333.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $100.89 / $122.76	Professional		$80.45	$100.89	$122.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.10 / $403.88 / $492.37	Facility		$330.10	$403.88	$492.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $126.94 / $190.39	Professional		$97.10	$126.94	$190.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.10 / $148.82 / $657.64	Professional		$136.10	$148.82	$657.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $287.08 / $825.00	Facility		$163.96	$287.08	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $162.74 / $301.77	Professional		$88.91	$162.74	$301.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.81 / $121.66 / $150.04	Professional		$100.81	$121.66	$150.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.70 / $165.54 / $331.00	Facility		$98.70	$165.54	$331.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $119.00 / $230.00	Professional		$60.00	$119.00	$230.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.54 / $112.31 / $239.45	Facility		$53.54	$112.31	$239.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.72 / $149.04 / $265.74	Professional		$58.72	$149.04	$265.74
United Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $145.91 / $281.52	Professional		$91.28	$145.91	$281.52