Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.80 / $200.64 / $816.61	Facility		$192.80	$200.64	$816.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.72 / $192.80 / $238.58	Professional		$157.72	$192.80	$238.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $200.43 / $334.59	Professional		$156.72	$200.43	$334.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.09 / $416.18	Professional		$199.53	$208.09	$416.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.27 / $399.05 / $1,010.48	Facility		$188.27	$399.05	$1,010.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.05 / $228.21 / $410.43	Professional		$157.05	$228.21	$410.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $190.18 / $322.52	Professional		$152.13	$190.18	$322.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.77 / $224.72 / $344.02	Facility		$143.77	$224.72	$344.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $267.00 / $369.75	Professional		$216.00	$267.00	$369.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $180.09 / $267.54 / $423.11	Facility		$180.09	$267.54	$423.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $267.54 / $423.11	Professional		$180.09	$267.54	$423.11
United Facility/Professional Professional Modifier Low / Median / High Price $145.54 / $202.14 / $343.28	Professional		$145.54	$202.14	$343.28