Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.41 / $151.41 / $151.41	Facility		$151.41	$151.41	$151.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.19 / $151.41 / $208.02	Professional		$114.19	$151.41	$208.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.74 / $251.74 / $251.74	Facility		$251.74	$251.74	$251.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.51 / $195.51 / $195.51	Professional		$195.51	$195.51	$195.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $222.06 / $222.06 / $222.06	Professional		$222.06	$222.06	$222.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $226.01	Facility		$160.96	$160.96	$226.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $160.96 / $215.49	Professional		$136.82	$160.96	$215.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.59 / $202.30 / $267.49	Professional		$168.59	$202.30	$267.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.87 / $151.41 / $349.05	Facility		$110.87	$151.41	$349.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $310.38 / $310.38 / $310.38	Professional		$310.38	$310.38	$310.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $141.32 / $316.97	Facility		$17.16	$141.32	$316.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $113.73 / $304.04	Professional		$17.16	$113.73	$304.04
United Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $150.07 / $231.88	Professional		$125.95	$150.07	$231.88