Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.65 / $145.75 / $145.75	Facility		$120.65	$145.75	$145.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.65 / $145.75 / $168.35	Professional		$120.65	$145.75	$168.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.77 / $294.77 / $313.06	Facility		$294.77	$294.77	$313.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.99 / $176.99 / $222.11	Professional		$176.99	$176.99	$222.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $158.00 / $201.51	Professional		$158.00	$158.00	$201.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.58 / $190.69 / $190.69	Facility		$157.58	$190.69	$190.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $190.69	Professional		$139.19	$139.19	$190.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.35 / $265.30 / $353.74	Professional		$206.35	$265.30	$353.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $178.93 / $335.56	Facility		$94.94	$178.93	$335.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $368.48 / $491.02	Professional		$166.00	$368.48	$491.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $222.47 / $368.48	Facility		$161.50	$222.47	$368.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $222.47 / $368.48	Professional		$161.50	$222.47	$368.48
United Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $147.07 / $221.53	Professional		$132.91	$147.07	$221.53