Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $229.09 / $588.84	Facility		$186.21	$229.09	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $354.81	Professional		$186.21	$229.09	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $501.19	Facility		$467.74	$467.74	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $489.78	Professional		$234.42	$234.42	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $323.59	Professional		$245.47	$245.47	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $251.19 / $251.19	Facility		$169.82	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Professional		$181.97	$181.97	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $660.69	Professional		$331.13	$467.74	$660.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $457.09	Professional		$223.87	$309.03	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $549.54	Facility		$181.97	$302.00	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $588.84	Professional		$251.19	$302.00	$588.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $380.19 / $1,288.25	Facility		$251.19	$380.19	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $1,288.25	Professional		$251.19	$380.19	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $199.53 / $549.54	Facility		$134.90	$199.53	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $371.54	Professional		$199.53	$229.09	$371.54