Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.41 / $621.16 / $984.98	Facility		$251.41	$621.16	$984.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.54 / $236.63 / $251.42	Professional		$206.54	$236.63	$251.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.79 / $295.79 / $1,453.81	Facility		$295.79	$295.79	$1,453.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $118.32 / $192.26	Professional		$118.32	$118.32	$192.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $236.63 / $461.43 / $1,301.48	Professional		$236.63	$461.43	$1,301.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.26 / $552.70 / $1,340.46	Facility		$192.26	$552.70	$1,340.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $179.57 / $479.68	Professional		$140.32	$179.57	$479.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $354.95 / $437.77	Professional		$295.79	$354.95	$437.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.42 / $354.95 / $508.76	Facility		$251.42	$354.95	$508.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $296.00 / $372.00 / $698.86	Professional		$296.00	$372.00	$698.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $242.55 / $331.28 / $4,071.00	Facility		$242.55	$331.28	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $242.55 / $331.28 / $4,071.00	Professional		$242.55	$331.28	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $153.81 / $340.16	Professional		$124.23	$153.81	$340.16