Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.94 / $187.19 / $187.19	Facility		$154.94	$187.19	$187.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $187.19 / $216.21	Professional		$154.94	$187.19	$216.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.59 / $378.59 / $402.06	Facility		$378.59	$378.59	$402.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.70 / $221.70 / $292.01	Professional		$221.70	$221.70	$292.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $203.00 / $258.80	Professional		$203.00	$203.00	$258.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.38 / $236.57 / $236.57	Facility		$202.38	$236.57	$236.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $172.70 / $236.57	Professional		$172.70	$172.70	$236.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.01 / $340.73 / $454.31	Professional		$265.01	$340.73	$454.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.94 / $232.84 / $430.96	Facility		$121.94	$232.84	$430.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $473.24 / $630.61	Professional		$213.00	$473.24	$630.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $207.42 / $285.72 / $473.24	Facility		$207.42	$285.72	$473.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $207.42 / $285.72 / $473.24	Professional		$207.42	$285.72	$473.24
United Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $188.88 / $284.52	Professional		$170.71	$188.88	$284.52