Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $204.17	Professional		$120.23	$151.36	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $199.53	Professional		$131.83	$165.96	$199.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $549.54	Professional		$91.20	$165.96	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $524.81 / $870.96	Facility		$234.42	$524.81	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $338.84	Professional		$128.82	$204.17	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $229.09	Professional		$151.36	$181.97	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $245.47 / $295.12	Professional		$229.09	$245.47	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $190.55 / $309.03	Facility		$117.49	$190.55	$309.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $173.78	Professional		$91.20	$91.20	$173.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $141.25 / $309.03	Facility		$66.07	$141.25	$309.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $177.83 / $363.08	Professional		$70.79	$177.83	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $97.72 / $213.80	Facility		$52.48	$97.72	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $316.23	Professional		$117.49	$181.97	$316.23