Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.90 / $351.51 / $663.02	Facility		$138.90	$351.51	$663.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $151.86 / $157.41	Professional		$138.90	$151.86	$157.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $185.20 / $910.26	Facility		$185.20	$185.20	$910.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $74.08 / $120.38	Professional		$74.08	$74.08	$120.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $148.16 / $288.91	Professional		$148.16	$148.16	$288.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $346.06 / $949.42	Facility		$120.38	$346.06	$949.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $112.52 / $301.37	Professional		$87.32	$112.52	$301.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $222.24 / $274.10	Professional		$185.20	$222.24	$274.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.18 / $212.98 / $318.54	Facility		$154.18	$212.98	$318.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $254.00 / $444.48	Professional		$182.00	$254.00	$444.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $151.86 / $207.42 / $4,071.00	Facility		$151.86	$207.42	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $151.86 / $207.42 / $4,071.00	Professional		$151.86	$207.42	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $111.12 / $185.20 / $222.24	Facility		$111.12	$185.20	$222.24
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $92.60 / $212.98	Professional		$77.78	$92.60	$212.98