Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.02 / $166.74 / $166.74	Facility		$138.02	$166.74	$166.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.02 / $166.74 / $185.57	Professional		$138.02	$166.74	$185.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.23 / $337.23 / $358.14	Facility		$337.23	$337.23	$358.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $186.58 / $240.20	Professional		$186.58	$186.58	$240.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.25 / $188.25 / $230.53	Professional		$188.25	$188.25	$230.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $192.91	Facility		$192.91	$192.91	$192.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $140.82 / $192.91	Professional		$140.82	$140.82	$192.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.06 / $303.51 / $404.68	Professional		$236.06	$303.51	$404.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $207.40 / $378.35	Facility		$99.43	$207.40	$378.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $421.54 / $561.72	Professional		$243.71	$421.54	$561.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $184.75 / $254.50 / $421.54	Facility		$184.75	$254.50	$421.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $184.75 / $254.50 / $421.54	Professional		$184.75	$254.50	$421.54
United Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $168.24 / $259.11	Professional		$139.85	$168.24	$259.11