Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $138.49 / $138.49	Facility		$131.90	$138.49	$138.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $138.49	Professional		$131.90	$131.90	$138.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $176.79	Professional		$131.90	$131.90	$176.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $298.61 / $298.61 / $298.61	Professional		$298.61	$298.61	$298.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.43 / $124.43 / $131.90	Facility		$124.43	$124.43	$131.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Professional		$131.90	$131.90	$131.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.12 / $131.90 / $407.44	Professional		$112.12	$131.90	$407.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $138.49 / $241.81	Facility		$131.90	$138.49	$241.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $218.27 / $356.30	Professional		$136.00	$218.27	$356.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $292.75 / $333.74 / $439.13	Facility		$292.75	$333.74	$439.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $292.75 / $333.74 / $439.13	Professional		$292.75	$333.74	$439.13
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $147.72	Professional		$131.90	$131.90	$147.72