Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $129.34 / $454.28	Facility		$122.85	$129.34	$454.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $122.85 / $154.53	Professional		$106.75	$122.85	$154.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.08 / $490.69 / $641.94	Facility		$389.08	$490.69	$641.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $151.31 / $267.81	Professional		$118.32	$151.31	$267.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.82 / $158.82 / $1,712.80	Professional		$158.82	$158.82	$1,712.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.01 / $415.56 / $825.00	Facility		$189.01	$415.56	$825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.32 / $222.66 / $648.19	Professional		$102.32	$222.66	$648.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.58 / $146.84 / $181.11	Professional		$121.58	$146.84	$181.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $213.41 / $754.25	Facility		$122.85	$213.41	$754.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $152.00 / $416.00	Professional		$75.00	$152.00	$416.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $135.13 / $473.68	Facility		$62.40	$135.13	$473.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.55 / $193.52 / $617.40	Professional		$77.55	$193.52	$617.40
United Facility/Professional Professional Modifier Low / Median / High Price $116.57 / $207.94 / $615.54	Professional		$116.57	$207.94	$615.54