Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $231.75 / $231.75	Facility		$132.88	$231.75	$231.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $132.88 / $231.75	Professional		$132.88	$132.88	$231.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.99 / $242.33 / $306.02	Facility		$188.99	$242.33	$306.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $116.60 / $178.20 / $266.75	Professional		$116.60	$178.20	$266.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.27 / $100.45 / $167.13	Facility		$61.27	$100.45	$167.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $28.65 / $31.33	Professional		$28.65	$28.65	$31.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $181.00 / $181.00	Professional		$181.00	$181.00	$181.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $132.88 / $245.00	Facility		$132.88	$132.88	$245.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,071.00 / $9,929.00 / $10,945.00	Facility		$4,071.00	$9,929.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,071.00 / $9,929.00 / $10,945.00	Professional		$4,071.00	$9,929.00	$10,945.00