Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.30 / $317.73 / $733.04	Facility		$202.30	$317.73	$733.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $195.16 / $202.30	Professional		$178.50	$195.16	$202.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $238.00 / $1,169.77	Facility		$238.00	$238.00	$1,169.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $95.20 / $154.69	Professional		$95.20	$95.20	$154.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $371.28 / $1,058.20	Professional		$190.40	$371.28	$1,058.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.69 / $442.76 / $1,079.20	Facility		$154.69	$442.76	$1,079.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.16 / $144.40 / $392.65	Professional		$97.16	$144.40	$392.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $285.60 / $352.24	Professional		$238.00	$285.60	$352.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $189.21 / $261.80 / $404.60	Facility		$189.21	$261.80	$404.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $247.29 / $562.08	Professional		$200.00	$247.29	$562.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $166.60 / $266.56 / $9,929.00	Facility		$166.60	$266.56	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $266.56 / $9,929.00	Professional		$166.60	$266.56	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $107.10 / $231.20	Professional		$67.91	$107.10	$231.20