Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $295.12 / $724.44	Facility		$134.90	$295.12	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $177.83	Professional		$97.72	$117.49	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $575.44	Facility		$144.54	$144.54	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $125.89	Professional		$70.79	$70.79	$125.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $257.04 / $380.19	Professional		$131.83	$257.04	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $354.81 / $741.31	Facility		$147.91	$354.81	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $288.40	Professional		$72.44	$107.15	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $204.17	Professional		$144.54	$158.49	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $138.04 / $275.42	Facility		$120.23	$138.04	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $120.23 / $302.00	Professional		$47.86	$120.23	$302.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $190.55 / $10,000.00	Facility		$138.04	$190.55	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $10,000.00	Professional		$138.04	$190.55	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $144.54 / $173.78	Facility		$117.49	$144.54	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $199.53	Professional		$60.26	$87.10	$199.53