Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.01 / $202.01 / $202.01	Facility		$202.01	$202.01	$202.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $202.01 / $254.88	Professional		$161.41	$202.01	$254.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.83 / $335.83 / $335.83	Facility		$335.83	$335.83	$335.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.32 / $241.32 / $241.32	Professional		$241.32	$241.32	$241.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $224.28 / $224.28 / $225.62	Professional		$224.28	$224.28	$225.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.43 / $244.43 / $244.43	Facility		$244.43	$244.43	$244.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $207.77 / $244.43	Professional		$178.43	$207.77	$244.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.99 / $282.19 / $395.07	Professional		$248.99	$282.19	$395.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $202.01 / $224.97 / $369.30	Facility		$202.01	$224.97	$369.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $286.17 / $286.17 / $286.17	Professional		$286.17	$286.17	$286.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $38.92 / $304.33	Facility		$21.54	$38.92	$304.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $38.92 / $304.33	Professional		$21.54	$38.92	$304.33
United Facility/Professional Professional Modifier Low / Median / High Price $144.79 / $170.34 / $241.32	Professional		$144.79	$170.34	$241.32