Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.21 / $459.91 / $1,060.71	Facility		$176.21	$459.91	$1,060.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $176.21 / $361.61	Professional		$176.21	$176.21	$361.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,831.17 / $2,348.02 / $2,965.16	Facility		$1,831.17	$2,348.02	$2,965.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $109.93 / $183.51	Professional		$109.93	$109.93	$183.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $385.71 / $385.71 / $752.13	Professional		$385.71	$385.71	$752.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.39 / $897.49 / $2,469.19	Facility		$313.39	$897.49	$2,469.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.50 / $587.50 / $703.89	Professional		$587.50	$587.50	$703.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.14 / $578.57 / $713.57	Professional		$482.14	$578.57	$713.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.78 / $361.61 / $578.58	Facility		$186.78	$361.61	$578.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $661.00 / $954.64 / $1,157.14	Professional		$661.00	$954.64	$1,157.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $395.35 / $554.46 / $891.96	Facility		$395.35	$554.46	$891.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $343.77 / $548.19 / $911.24	Professional		$343.77	$548.19	$911.24
United Facility/Professional Facility Modifier Low / Median / High Price $202.50 / $202.50 / $202.50	Facility		$202.50	$202.50	$202.50
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $103.66 / $238.41	Professional		$87.07	$103.66	$238.41