Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.50 / $1,347.58 / $1,757.45	Facility		$603.50	$1,347.58	$1,757.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.50 / $603.50 / $603.50	Professional		$532.50	$603.50	$603.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.58 / $3,457.70 / $4,366.50	Facility		$2,696.58	$3,457.70	$4,366.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $335.33 / $508.02	Professional		$335.33	$335.33	$508.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $568.00 / $639.00 / $1,246.05	Professional		$568.00	$639.00	$1,246.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.05 / $865.05 / $1,036.43	Professional		$865.05	$865.05	$1,036.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $710.00 / $852.00 / $1,050.80	Professional		$710.00	$852.00	$1,050.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $564.45 / $710.00 / $1,207.00	Facility		$564.45	$710.00	$1,207.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $973.00 / $1,405.80 / $1,704.00	Professional		$973.00	$1,405.80	$1,704.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $504.10 / $787.96 / $1,313.50	Facility		$504.10	$787.96	$1,313.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $497.00 / $787.96 / $1,341.90	Professional		$497.00	$787.96	$1,341.90
United Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $355.00 / $816.50	Professional		$298.20	$355.00	$816.50