Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.46 / $190.46 / $192.49	Facility		$190.46	$190.46	$192.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.88 / $190.46 / $211.30	Professional		$175.88	$190.46	$211.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.13 / $361.13 / $383.52	Facility		$361.13	$361.13	$383.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.31 / $222.31 / $277.89	Professional		$222.31	$222.31	$277.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $219.70 / $219.70 / $246.87	Professional		$219.70	$219.70	$246.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $239.35	Facility		$239.35	$239.35	$239.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $174.73 / $174.73	Professional		$174.73	$174.73	$174.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.79 / $325.02 / $433.36	Professional		$252.79	$325.02	$433.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.46 / $222.10 / $403.50	Facility		$106.46	$222.10	$403.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $272.22 / $474.35 / $601.53	Professional		$272.22	$474.35	$601.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $277.63 / $461.36	Facility		$197.86	$277.63	$461.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $277.63 / $461.36	Professional		$197.86	$277.63	$461.36
United Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $180.17 / $258.47	Professional		$164.90	$180.17	$258.47