Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.49 / $195.49 / $197.57	Facility		$195.49	$195.49	$197.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $195.49 / $211.69	Professional		$181.00	$195.49	$211.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.68 / $370.68 / $393.66	Facility		$370.68	$370.68	$393.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.02 / $224.02 / $295.99	Professional		$224.02	$224.02	$295.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $199.00 / $253.39	Professional		$199.00	$199.00	$253.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $239.78	Facility		$239.78	$239.78	$239.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $175.04 / $239.78	Professional		$175.04	$175.04	$239.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.48 / $333.61 / $444.82	Professional		$259.48	$333.61	$444.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $228.72 / $433.42	Facility		$119.39	$228.72	$433.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $486.88 / $617.41	Professional		$232.00	$486.88	$617.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $203.08 / $279.74 / $463.35	Facility		$203.08	$279.74	$463.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $203.08 / $279.74 / $463.35	Professional		$203.08	$279.74	$463.35
United Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $247.02 / $247.02	Facility		$247.02	$247.02	$247.02
United Facility/Professional Professional Modifier Low / Median / High Price $172.34 / $184.93 / $284.95	Professional		$172.34	$184.93	$284.95