Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $121.90 / $356.91	Facility		$120.51	$121.90	$356.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.76 / $121.90 / $148.08	Professional		$113.76	$121.90	$148.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $394.04 / $497.85 / $650.13	Facility		$394.04	$497.85	$650.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $149.88 / $212.83	Professional		$117.25	$149.88	$212.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $156.93 / $260.00 / $761.52	Professional		$156.93	$260.00	$761.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.41 / $185.32 / $1,058.78	Facility		$132.41	$185.32	$1,058.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.36 / $197.33 / $340.44	Professional		$110.36	$197.33	$340.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.50 / $169.51 / $178.01	Professional		$128.50	$169.51	$178.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.66 / $201.14 / $325.00	Facility		$126.66	$201.14	$325.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $141.00 / $266.00	Professional		$72.00	$141.00	$266.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.92 / $126.33 / $267.07	Facility		$64.92	$126.33	$267.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $173.12 / $317.36	Professional		$65.23	$173.12	$317.36
United Facility/Professional Professional Modifier Low / Median / High Price $118.37 / $186.80 / $293.26	Professional		$118.37	$186.80	$293.26