Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $190.23	Facility		$188.22	$188.22	$190.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $188.22 / $190.23	Professional		$147.13	$188.22	$190.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.88 / $356.88 / $379.01	Facility		$356.88	$356.88	$379.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.68 / $170.68 / $221.60	Professional		$170.68	$170.68	$221.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $191.00 / $191.00 / $243.96	Professional		$191.00	$191.00	$243.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $174.77 / $190.77	Facility		$174.77	$174.77	$190.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $127.58 / $174.77	Professional		$127.58	$127.58	$174.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.82 / $321.19 / $428.26	Professional		$249.82	$321.19	$428.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.08 / $219.49 / $400.42	Facility		$90.08	$219.49	$400.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $468.77 / $594.46	Professional		$157.00	$468.77	$594.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $195.52 / $268.20 / $446.10	Facility		$195.52	$268.20	$446.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $195.52 / $268.20 / $446.10	Professional		$195.52	$268.20	$446.10
United Facility/Professional Professional Modifier Low / Median / High Price $157.49 / $178.05 / $268.20	Professional		$157.49	$178.05	$268.20