Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.93 / $435.67 / $742.71	Facility		$195.93	$435.67	$742.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.60 / $170.12 / $195.93	Professional		$155.60	$170.12	$195.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.46 / $207.46 / $1,019.67	Facility		$207.46	$207.46	$1,019.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.45 / $102.45 / $160.88	Professional		$102.45	$102.45	$160.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $228.21 / $445.01 / $3,546.49	Professional		$228.21	$445.01	$3,546.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.85 / $457.61 / $1,063.52	Facility		$134.85	$457.61	$1,063.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.83 / $138.85 / $410.66	Professional		$103.83	$138.85	$410.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.46 / $248.95 / $307.04	Professional		$207.46	$248.95	$307.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.93 / $322.38 / $453.88	Facility		$195.93	$322.38	$453.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $356.00 / $497.90	Professional		$207.00	$356.00	$497.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $189.02 / $249.37 / $9,929.00	Facility		$189.02	$249.37	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $197.23 / $249.37 / $9,929.00	Professional		$197.23	$249.37	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $118.87 / $283.02	Professional		$87.13	$118.87	$283.02