Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Facility		$178.13	$178.13	$178.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $178.13 / $178.13	Professional		$167.65	$178.13	$178.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $167.65 / $224.71	Professional		$167.65	$167.65	$224.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Facility		$178.13	$178.13	$178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $182.61 / $182.61	Professional		$162.32	$182.61	$182.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $209.56 / $271.29	Facility		$178.13	$209.56	$271.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.08 / $209.56 / $209.56	Professional		$199.08	$209.56	$209.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $173.93 / $199.08 / $260.89	Facility		$173.93	$199.08	$260.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $199.08 / $260.89	Professional		$173.93	$199.08	$260.89
United Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $202.90 / $213.05	Professional		$202.90	$202.90	$213.05