Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $933.25 / $2,089.30	Facility		$416.87	$933.25	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $501.19	Professional		$416.87	$416.87	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,570.40	Facility		$1,659.59	$2,187.76	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $707.95	Professional		$416.87	$416.87	$707.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,380.38 / $2,089.30	Professional		$331.13	$1,380.38	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $691.83 / $2,137.96	Facility		$269.15	$691.83	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $602.56	Professional		$416.87	$512.86	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $457.09 / $588.84	Professional		$416.87	$457.09	$588.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $489.78 / $758.58	Facility		$416.87	$489.78	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $870.96	Professional		$416.87	$416.87	$870.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $436.52 / $870.96	Facility		$331.13	$436.52	$870.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $870.96	Professional		$331.13	$436.52	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $416.87 / $501.19	Facility		$251.19	$416.87	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $478.63	Professional		$173.78	$208.93	$478.63