Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.56 / $380.97 / $652.85	Facility		$163.56	$380.97	$652.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $154.12 / $163.56	Professional		$129.88	$154.12	$163.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.17 / $173.17 / $851.13	Facility		$173.17	$173.17	$851.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $157.69	Professional		$98.11	$98.11	$157.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $337.68 / $1,064.61	Professional		$173.17	$337.68	$1,064.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.61 / $447.75 / $887.35	Facility		$202.61	$447.75	$887.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.12 / $128.32 / $346.22	Professional		$90.12	$128.32	$346.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $207.80 / $329.02	Professional		$173.17	$207.80	$329.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $166.25 / $315.00 / $481.41	Facility		$166.25	$315.00	$481.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $316.00 / $442.00	Professional		$180.00	$316.00	$442.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $164.63 / $237.12 / $4,071.00	Facility		$164.63	$237.12	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $164.63 / $232.24 / $7,420.00	Professional		$164.63	$232.24	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $173.17 / $360.83	Professional		$103.90	$173.17	$360.83