Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,570.40 / $7,079.46	Facility		$562.34	$2,570.40	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $1,148.15	Professional		$457.09	$549.54	$1,148.15
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 $489.78 / $724.44 / $1,258.93	Professional		$489.78	$724.44	$1,258.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $2,511.89	Professional		$512.86	$741.31	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,122.02	Professional		$489.78	$630.96	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $851.14	Professional		$562.34	$724.44	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,230.27	Professional		$660.69	$831.76	$1,230.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $645.65 / $1,023.29	Facility		$489.78	$645.65	$1,023.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $1,479.11	Facility		$436.52	$630.96	$1,479.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,479.11	Professional		$478.63	$676.08	$1,479.11
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 $380.19 / $588.84 / $1,000.00	Professional		$380.19	$588.84	$1,000.00