Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $115.36 / $179.65	Facility		$115.36	$115.36	$179.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.49 / $115.36 / $250.22	Professional		$95.49	$115.36	$250.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.30 / $233.30 / $247.76	Facility		$233.30	$233.30	$247.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.05 / $114.05 / $142.57	Professional		$114.05	$114.05	$142.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $130.26 / $130.26 / $159.47	Professional		$130.26	$130.26	$159.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $152.55 / $153.72	Facility		$75.00	$152.55	$153.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $111.36 / $153.72	Professional		$111.36	$111.36	$153.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $209.97 / $279.95	Professional		$163.31	$209.97	$279.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.78 / $141.61 / $261.80	Facility		$68.78	$141.61	$261.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $291.63 / $388.61	Professional		$139.00	$291.63	$388.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $127.83 / $179.43 / $291.63	Facility		$127.83	$179.43	$291.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $127.83 / $179.43 / $291.63	Professional		$127.83	$179.43	$291.63
United Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $116.39 / $185.53	Professional		$98.50	$116.39	$185.53