Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.68 / $367.18 / $896.35	Facility		$140.68	$367.18	$896.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.68 / $140.68 / $305.57	Professional		$140.68	$140.68	$305.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,547.42 / $1,984.18 / $2,505.69	Facility		$1,547.42	$1,984.18	$2,505.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $66.20 / $106.40	Professional		$66.20	$66.20	$106.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $325.94 / $325.94 / $635.58	Professional		$325.94	$325.94	$635.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.83 / $758.11 / $2,086.73	Facility		$264.83	$758.11	$2,086.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $496.44 / $594.79	Professional		$96.82	$496.44	$594.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $488.92 / $603.00	Professional		$407.43	$488.92	$603.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $236.68 / $418.63	Facility		$164.60	$236.68	$418.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $558.00 / $806.71 / $977.83	Professional		$558.00	$806.71	$977.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $123.64 / $214.18 / $605.72	Facility		$123.64	$214.18	$605.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $202.63 / $509.29	Professional		$123.64	$202.63	$509.29
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $99.31 / $236.68	Professional		$69.51	$99.31	$236.68