Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.49 / $169.32 / $169.32	Facility		$104.49	$169.32	$169.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $169.32 / $169.32	Professional		$104.49	$169.32	$169.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.89 / $244.89 / $260.07	Facility		$244.89	$244.89	$260.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.68 / $197.68 / $247.11	Professional		$197.68	$197.68	$247.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $184.00 / $184.00	Professional		$184.00	$184.00	$184.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $214.95	Facility		$214.95	$214.95	$214.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $156.91 / $214.95	Professional		$156.91	$156.91	$214.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.27 / $205.57 / $323.04	Professional		$155.27	$205.57	$323.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $191.33 / $380.42	Facility		$104.44	$191.33	$380.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $347.00 / $454.67	Professional		$182.00	$347.00	$454.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $174.76 / $244.89 / $363.09	Facility		$174.76	$244.89	$363.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $174.76 / $244.89 / $363.09	Professional		$174.76	$244.89	$363.09
United Facility/Professional Professional Modifier Low / Median / High Price $154.41 / $170.84 / $257.36	Professional		$154.41	$170.84	$257.36