Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.16 / $421.77 / $700.21	Facility		$212.16	$421.77	$700.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $231.96 / $240.45	Professional		$212.16	$231.96	$240.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,074.38 / $1,377.63 / $1,739.71	Facility		$1,074.38	$1,377.63	$1,739.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $288.83 / $440.01	Professional		$288.83	$288.83	$440.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $226.30 / $260.25 / $507.49	Professional		$226.30	$260.25	$507.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.87 / $623.62 / $1,449.30	Facility		$183.87	$623.62	$1,449.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.97 / $344.97 / $413.31	Professional		$344.97	$344.97	$413.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $339.46 / $418.66	Professional		$282.88	$339.46	$418.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $224.89 / $282.88 / $480.90	Facility		$224.89	$282.88	$480.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $388.00 / $560.10 / $678.91	Professional		$388.00	$560.10	$678.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $198.02 / $313.94 / $525.20	Facility		$198.02	$313.94	$525.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $198.02 / $321.63 / $525.20	Professional		$198.02	$321.63	$525.20
United Facility/Professional Facility Modifier Low / Median / High Price $339.46 / $339.46 / $339.46	Facility		$339.46	$339.46	$339.46
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $385.08	Professional		$118.81	$169.73	$385.08