Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $331.13 / $1,122.02	Facility		$144.54	$331.13	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $316.23	Professional		$91.20	$125.89	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $501.19	Facility		$125.89	$125.89	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $125.89	Professional		$70.79	$70.79	$125.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $575.44 / $870.96	Professional		$107.15	$575.44	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $331.13 / $562.34	Facility		$199.53	$331.13	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $251.19	Professional		$67.61	$93.33	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $186.21	Professional		$125.89	$147.91	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $218.78 / $426.58	Facility		$109.65	$218.78	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $263.03	Professional		$100.00	$100.00	$263.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $186.21 / $10,000.00	Facility		$123.03	$186.21	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $10,000.00	Professional		$123.03	$190.55	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $125.89 / $151.36	Facility		$52.48	$125.89	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $281.84	Professional		$75.86	$125.89	$281.84