Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,479.11 / $1,949.84	Facility		$588.84	$1,479.11	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $741.31	Professional		$512.86	$616.60	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $4,897.79	Facility		$3,162.28	$4,073.80	$4,897.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $912.01	Professional		$537.03	$537.03	$912.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $645.65 / $707.95	Professional		$602.56	$645.65	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,949.84 / $4,073.80	Facility		$794.33	$1,949.84	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,148.15	Professional		$954.99	$954.99	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,096.48	Professional		$794.33	$870.96	$1,096.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $758.58 / $1,230.27	Facility		$588.84	$758.58	$1,230.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,659.59	Professional		$512.86	$512.86	$1,659.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $891.25 / $1,621.81	Facility		$549.54	$891.25	$1,621.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $1,621.81	Professional		$549.54	$912.01	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $794.33 / $954.99	Facility		$467.74	$794.33	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $912.01	Professional		$331.13	$398.11	$912.01