Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.96 / $203.96 / $206.12	Facility		$203.96	$203.96	$206.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.63 / $203.96 / $220.77	Professional		$189.63	$203.96	$220.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $386.71 / $386.71 / $410.69	Facility		$386.71	$386.71	$410.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.58 / $218.58 / $284.44	Professional		$218.58	$218.58	$284.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $207.00 / $264.36	Professional		$207.00	$207.00	$264.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.48 / $292.48 / $292.48	Facility		$292.48	$292.48	$292.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $213.51 / $292.48	Professional		$213.51	$213.51	$292.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.70 / $348.04 / $464.05	Professional		$270.70	$348.04	$464.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.21 / $240.99 / $440.21	Facility		$117.21	$240.99	$440.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $507.95 / $644.14	Professional		$207.00	$507.95	$644.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $211.88 / $290.62 / $483.39	Facility		$211.88	$290.62	$483.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $211.88 / $290.62 / $483.39	Professional		$211.88	$290.62	$483.39
United Facility/Professional Professional Modifier Low / Median / High Price $179.71 / $192.93 / $284.23	Professional		$179.71	$192.93	$284.23