Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.36 / $231.36 / $231.36	Facility		$231.36	$231.36	$231.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $231.36 / $294.14	Professional		$188.91	$231.36	$294.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.65 / $384.65 / $384.65	Facility		$384.65	$384.65	$384.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $296.27 / $296.27	Professional		$296.27	$296.27	$296.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $253.80 / $253.80 / $261.42	Professional		$253.80	$253.80	$261.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $267.62 / $330.59	Facility		$267.62	$267.62	$330.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $267.62 / $330.59	Professional		$227.48	$267.62	$330.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.49 / $326.95 / $432.91	Professional		$275.49	$326.95	$432.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $231.36 / $280.08 / $402.45	Facility		$231.36	$280.08	$402.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.14 / $302.14 / $302.14	Professional		$302.14	$302.14	$302.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.08 / $215.94 / $375.51	Facility		$26.08	$215.94	$375.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.08 / $160.15 / $347.69	Professional		$26.08	$160.15	$347.69
United Facility/Professional Professional Modifier Low / Median / High Price $181.67 / $194.41 / $305.12	Professional		$181.67	$194.41	$305.12