Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $562.34 / $3,630.78	Facility		$288.40	$562.34	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $602.56	Professional		$234.42	$302.00	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $676.08	Professional		$269.15	$398.11	$676.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $1,047.13	Professional		$275.42	$354.81	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $616.60	Professional		$251.19	$331.13	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $537.03	Professional		$354.81	$446.68	$537.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $676.08	Professional		$331.13	$407.38	$676.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $338.84 / $549.54	Facility		$251.19	$338.84	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $316.23 / $1,288.25	Facility		$229.09	$316.23	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $1,348.96	Professional		$251.19	$354.81	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,148.15 / $2,398.83	Facility		$218.78	$1,148.15	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $524.81	Professional		$194.98	$302.00	$524.81