Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.73 / $184.73 / $186.70	Facility		$184.73	$184.73	$186.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.56 / $184.73 / $210.38	Professional		$183.56	$184.73	$210.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.26 / $350.26 / $371.98	Facility		$350.26	$350.26	$371.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.27 / $218.27 / $275.20	Professional		$218.27	$218.27	$275.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $188.00 / $239.44	Professional		$188.00	$188.00	$239.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.19 / $243.19 / $243.19	Facility		$243.19	$243.19	$243.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $177.53 / $243.19	Professional		$177.53	$177.53	$243.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.18 / $315.23 / $420.31	Professional		$245.18	$315.23	$420.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.81 / $222.17 / $409.57	Facility		$112.81	$222.17	$409.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $460.08 / $583.42	Professional		$197.00	$460.08	$583.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $191.90 / $263.23 / $437.83	Facility		$191.90	$263.23	$437.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $191.90 / $263.23 / $437.83	Professional		$191.90	$263.23	$437.83
United Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $174.74 / $269.27	Professional		$157.94	$174.74	$269.27