Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $128.82 / $288.40	Facility		$123.03	$128.82	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $245.47	Professional		$100.00	$125.89	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $524.81 / $645.65	Facility		$436.52	$524.81	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $288.40	Professional		$123.03	$173.78	$288.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $1,995.26	Professional		$93.33	$162.18	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $354.81 / $870.96	Facility		$190.55	$354.81	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $223.87 / $630.96	Professional		$107.15	$223.87	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $186.21	Professional		$123.03	$147.91	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $831.76 / $851.14	Professional		$295.12	$831.76	$851.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $194.98 / $616.60	Facility		$120.23	$194.98	$616.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $660.69	Professional		$208.93	$208.93	$660.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $131.83 / $489.78	Facility		$64.57	$131.83	$489.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $177.83 / $616.60	Professional		$69.18	$177.83	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $524.81 / $6,606.93	Facility		$56.23	$524.81	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $575.44	Professional		$114.82	$204.17	$575.44