Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $271.31 / $539.49	Facility		$236.62	$271.31	$539.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $260.27	Professional		$236.62	$236.62	$260.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $489.80 / $773.75	Facility		$236.62	$489.80	$773.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $317.16	Professional		$236.62	$236.62	$317.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $236.61 / $236.61 / $283.49	Professional		$236.61	$236.61	$283.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.22 / $223.22 / $236.62	Facility		$223.22	$223.22	$236.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $236.62	Professional		$236.62	$236.62	$236.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.13 / $236.62 / $283.94	Professional		$201.13	$236.62	$283.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $193.16 / $248.45 / $378.59	Facility		$193.16	$248.45	$378.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $315.00 / $543.07	Professional		$236.62	$315.00	$543.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $231.10 / $254.48 / $354.93	Facility		$231.10	$254.48	$354.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $231.10 / $254.48 / $354.93	Professional		$231.10	$254.48	$354.93
United Facility/Professional Facility Modifier Low / Median / High Price $885.86 / $885.86 / $885.86	Facility		$885.86	$885.86	$885.86
United Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $250.82 / $271.61	Professional		$236.62	$250.82	$271.61