Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $245.47 / $245.47	Facility		$239.88	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $389.05	Professional		$199.53	$239.88	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $501.19	Facility		$467.74	$467.74	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $588.84	Professional		$281.84	$281.84	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $323.59	Professional		$257.04	$257.04	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $295.12 / $295.12	Facility		$199.53	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $295.12	Professional		$213.80	$213.80	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $660.69	Professional		$331.13	$467.74	$660.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $457.09	Professional		$234.42	$309.03	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $338.84 / $562.34	Facility		$199.53	$338.84	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $302.00	Professional		$251.19	$281.84	$302.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $380.19 / $1,288.25	Facility		$251.19	$380.19	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $1,288.25	Professional		$251.19	$380.19	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $316.23 / $676.08	Facility		$158.49	$316.23	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $229.09 / $346.74	Professional		$208.93	$229.09	$346.74