Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $383.72 / $4,308.82	Facility		$138.74	$383.72	$4,308.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $152.61	Professional		$138.74	$138.74	$152.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $185.96	Professional		$138.74	$138.74	$185.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $187.00 / $193.78	Professional		$187.00	$187.00	$193.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $130.88 / $138.74	Facility		$130.88	$130.88	$138.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $138.74	Professional		$138.74	$138.74	$138.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.93 / $138.74 / $253.80	Professional		$117.93	$138.74	$253.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $145.68 / $252.59	Facility		$138.74	$145.68	$252.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $201.35 / $327.17	Professional		$138.74	$201.35	$327.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $133.74 / $160.49 / $253.54	Facility		$133.74	$160.49	$253.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $133.74 / $160.49 / $253.54	Professional		$133.74	$160.49	$253.54
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $155.38	Professional		$138.74	$138.74	$155.38