Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,202.26 / $2,238.72	Facility		$537.03	$1,202.26	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $691.83	Professional		$295.12	$562.34	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $4,466.84	Facility		$2,884.03	$3,801.89	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $407.38	Professional		$229.09	$229.09	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $645.65	Professional		$549.54	$588.84	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,778.28 / $3,715.35	Facility		$741.31	$1,778.28	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $870.96 / $1,047.13	Professional		$416.87	$870.96	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $1,000.00	Professional		$724.44	$794.33	$1,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $794.33 / $1,202.26	Facility		$575.44	$794.33	$1,202.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,513.56	Professional		$467.74	$724.44	$1,513.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $812.83 / $1,318.26	Facility		$512.86	$812.83	$1,318.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,318.26	Professional		$512.86	$812.83	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $724.44 / $870.96	Facility		$436.52	$724.44	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $831.76	Professional		$302.00	$363.08	$831.76