Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.61 / $159.00 / $159.00	Facility		$131.61	$159.00	$159.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.61 / $159.00 / $187.69	Professional		$131.61	$159.00	$187.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.58 / $321.58 / $341.52	Facility		$321.58	$321.58	$341.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.32 / $181.32 / $232.98	Professional		$181.32	$181.32	$232.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $172.00 / $219.83	Professional		$172.00	$172.00	$219.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.21 / $196.21 / $196.21	Facility		$196.21	$196.21	$196.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $143.22 / $196.21	Professional		$143.22	$143.22	$196.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $289.42 / $385.90	Professional		$225.11	$289.42	$385.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.69 / $188.20 / $360.80	Facility		$97.69	$188.20	$360.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $401.98 / $535.64	Professional		$174.00	$401.98	$535.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $176.18 / $242.69 / $401.98	Facility		$176.18	$242.69	$401.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $176.18 / $242.69 / $401.98	Professional		$176.18	$242.69	$401.98
United Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $160.43 / $241.66	Professional		$145.00	$160.43	$241.66