Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $302.00	Professional		$154.88	$223.87	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $489.78	Facility		$467.74	$467.74	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $457.09	Professional		$218.78	$218.78	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $316.23	Professional		$245.47	$245.47	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $295.12 / $295.12	Facility		$181.97	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $295.12	Professional		$218.78	$218.78	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $645.65	Professional		$323.59	$467.74	$645.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $457.09	Professional		$177.83	$302.00	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $302.00 / $537.03	Facility		$154.88	$302.00	$537.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $302.00	Professional		$213.80	$251.19	$302.00
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 / $269.15 / $489.78	Facility		$134.90	$269.15	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $338.84	Professional		$177.83	$223.87	$338.84