Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,288.25 / $2,511.89	Facility		$426.58	$1,288.25	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $776.25	Professional		$446.68	$524.81	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $2,691.53	Facility		$676.08	$676.08	$2,691.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $316.23	Professional		$181.97	$181.97	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $549.54 / $616.60	Professional		$524.81	$549.54	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,348.96 / $3,467.37	Facility		$691.83	$1,348.96	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $977.24	Professional		$831.76	$831.76	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $954.99	Professional		$676.08	$741.31	$954.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $660.69 / $1,047.13	Facility		$512.86	$660.69	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $1,412.54	Professional		$436.52	$436.52	$1,412.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $676.08 / $1,318.26	Facility		$478.63	$676.08	$1,318.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,318.26	Professional		$478.63	$676.08	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $676.08 / $812.83	Facility		$407.38	$676.08	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $776.25	Professional		$281.84	$338.84	$776.25