Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.77 / $314.33 / $592.88	Facility		$140.77	$314.33	$592.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $137.46 / $140.77	Professional		$124.21	$137.46	$140.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.61 / $165.61 / $806.52	Facility		$165.61	$165.61	$806.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $66.72 / $100.19	Professional		$66.72	$66.72	$100.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $400.11 / $611.49 / $915.34	Professional		$400.11	$611.49	$915.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.72 / $367.07 / $815.41	Facility		$115.72	$367.07	$815.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $99.37 / $190.39	Professional		$77.69	$99.37	$190.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.73 / $207.01 / $245.10	Professional		$198.73	$207.01	$245.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.24 / $120.62 / $140.77	Facility		$113.24	$120.62	$140.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.91 / $201.00 / $221.19	Professional		$151.91	$201.00	$221.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.90 / $201.22 / $4,071.00	Facility		$120.90	$201.22	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $115.93 / $200.45 / $4,071.00	Professional		$115.93	$200.45	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $82.81 / $141.55	Professional		$69.56	$82.81	$141.55