Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $151.13 / $382.27	Facility		$36.11	$151.13	$382.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $151.12 / $188.15	Professional		$117.31	$151.12	$188.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.16 / $153.21 / $233.68	Professional		$104.16	$153.21	$233.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $118.76 / $148.44	Professional		$70.12	$118.76	$148.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.97 / $459.26 / $750.00	Facility		$265.97	$459.26	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.79 / $170.37 / $358.87	Professional		$118.79	$170.37	$358.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.91 / $182.30 / $223.97	Professional		$151.91	$182.30	$223.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.34 / $184.29 / $276.57	Facility		$147.34	$184.29	$276.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $196.00 / $290.00	Professional		$70.62	$196.00	$290.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.34 / $132.40 / $253.08	Facility		$45.34	$132.40	$253.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $159.21 / $316.25	Professional		$50.95	$159.21	$316.25
United Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $185.56 / $292.04	Professional		$123.50	$185.56	$292.04