Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $676.08	Professional		$467.74	$549.54	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $125.89	Professional		$60.26	$60.26	$125.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $645.65	Professional		$549.54	$575.44	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,023.29	Professional		$851.14	$851.14	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,000.00	Professional		$676.08	$776.25	$1,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $630.96 / $1,096.48	Facility		$524.81	$630.96	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $758.58 / $1,071.52	Facility		$363.08	$758.58	$1,071.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $776.25 / $1,071.52	Professional		$363.08	$776.25	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $933.25	Professional		$295.12	$354.81	$933.25