Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $165.96 / $165.96	Facility		$162.18	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $257.04	Professional		$141.25	$162.18	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $338.84	Facility		$316.23	$316.23	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $389.05	Professional		$186.21	$186.21	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $218.78	Professional		$165.96	$165.96	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $263.03 / $263.03	Facility		$173.78	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $263.03	Professional		$194.98	$194.98	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $446.68	Professional		$223.87	$316.23	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $316.23	Professional		$181.97	$208.93	$316.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $229.09 / $416.87	Facility		$134.90	$229.09	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $223.87	Professional		$169.82	$208.93	$223.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $263.03 / $912.01	Facility		$169.82	$263.03	$912.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $912.01	Professional		$169.82	$263.03	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $229.09 / $416.87	Facility		$114.82	$229.09	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $154.88 / $234.42	Professional		$144.54	$154.88	$234.42