Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.48 / $152.80 / $335.22	Facility		$126.48	$152.80	$335.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.48 / $152.80 / $186.86	Professional		$126.48	$152.80	$186.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.02 / $309.02 / $328.19	Facility		$309.02	$309.02	$328.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.10 / $171.10 / $213.89	Professional		$171.10	$171.10	$213.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $188.00 / $211.25	Professional		$188.00	$188.00	$211.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $180.09	Facility		$176.75	$176.75	$180.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $129.03 / $180.09	Professional		$129.03	$129.03	$180.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.32 / $278.13 / $370.84	Professional		$216.32	$278.13	$370.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.10 / $172.66 / $345.28	Facility		$91.10	$172.66	$345.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $232.94 / $386.29 / $514.75	Professional		$232.94	$386.29	$514.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $169.31 / $239.48 / $394.81	Facility		$169.31	$239.48	$394.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.31 / $234.30 / $386.96	Professional		$169.31	$234.30	$386.96
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $154.18 / $231.65	Professional		$128.13	$154.18	$231.65