Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.93 / $152.13 / $152.13	Facility		$125.93	$152.13	$152.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $152.13 / $181.48	Professional		$125.93	$152.13	$181.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.68 / $307.68 / $326.76	Facility		$307.68	$307.68	$326.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.50 / $183.50 / $232.55	Professional		$183.50	$183.50	$232.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $210.33	Professional		$165.00	$165.00	$210.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $218.57 / $218.57	Facility		$218.57	$218.57	$218.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $159.56 / $218.57	Professional		$159.56	$159.56	$218.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.38 / $276.91 / $369.22	Professional		$215.38	$276.91	$369.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.03 / $189.25 / $345.26	Facility		$97.03	$189.25	$345.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $384.60 / $512.51	Professional		$169.00	$384.60	$512.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $168.58 / $232.22 / $384.60	Facility		$168.58	$232.22	$384.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $232.22 / $384.60	Professional		$168.58	$232.22	$384.60
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $153.50 / $231.25	Professional		$136.47	$153.50	$231.25