Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.70 / $675.94 / $881.52	Facility		$302.70	$675.94	$881.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.10 / $302.70 / $302.70	Professional		$267.10	$302.70	$302.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,352.58 / $1,734.35 / $2,190.19	Facility		$1,352.58	$1,734.35	$2,190.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.31 / $241.31 / $356.13	Professional		$241.31	$241.31	$356.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $284.89 / $320.52 / $625.01	Professional		$284.89	$320.52	$625.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.48 / $662.87 / $1,825.04	Facility		$231.48	$662.87	$1,825.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.84 / $433.84 / $519.79	Professional		$433.84	$433.84	$519.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $427.36 / $527.07	Professional		$356.13	$427.36	$527.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $283.13 / $356.13 / $605.41	Facility		$283.13	$356.13	$605.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $488.00 / $705.14 / $854.71	Professional		$488.00	$705.14	$854.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $249.29 / $404.92 / $661.19	Facility		$249.29	$404.92	$661.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $249.29 / $404.92 / $658.84	Professional		$249.29	$404.92	$658.84
United Facility/Professional Professional Modifier Low / Median / High Price $149.57 / $185.19 / $484.80	Professional		$149.57	$185.19	$484.80