Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.13 / $159.13 / $451.30	Facility		$159.13	$159.13	$451.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.26 / $159.13 / $162.00	Professional		$148.26	$159.13	$162.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $497.43 / $628.49 / $820.72	Facility		$497.43	$628.49	$820.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.88 / $187.55 / $264.64	Professional		$137.88	$187.55	$264.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.36 / $279.11 / $414.13	Professional		$190.36	$279.11	$414.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.51 / $470.65 / $922.27	Facility		$359.51	$470.65	$922.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.48 / $203.24 / $344.08	Professional		$120.48	$203.24	$344.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.58 / $222.46 / $228.67	Professional		$159.58	$222.46	$228.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $157.16 / $214.56 / $311.36	Facility		$157.16	$214.56	$311.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $206.00 / $299.00	Professional		$29.00	$206.00	$299.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $24.25 / $154.51 / $361.25	Facility		$24.25	$154.51	$361.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.28 / $170.46 / $391.97	Professional		$27.28	$170.46	$391.97
United Facility/Professional Professional Modifier Low / Median / High Price $110.54 / $214.14 / $361.00	Professional		$110.54	$214.14	$361.00