Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.50 / $728.59 / $1,842.25	Facility		$366.50	$728.59	$1,842.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.50 / $400.70 / $461.51	Professional		$366.50	$400.70	$461.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.66 / $488.66 / $2,401.76	Facility		$488.66	$488.66	$2,401.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.31 / $241.31 / $387.88	Professional		$241.31	$241.31	$387.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $439.79 / $857.59 / $3,003.97	Professional		$439.79	$857.59	$3,003.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.73 / $1,254.86 / $2,502.73	Facility		$571.73	$1,254.86	$2,502.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.33 / $362.38 / $966.56	Professional		$248.33	$362.38	$966.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.66 / $586.39 / $928.45	Professional		$488.66	$586.39	$928.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $469.12 / $850.58 / $1,309.78	Facility		$469.12	$850.58	$1,309.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.96 / $884.00 / $1,247.00	Professional		$507.96	$884.00	$1,247.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $464.57 / $664.78 / $7,420.00	Facility		$464.57	$664.78	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $464.57 / $651.38 / $7,420.00	Professional		$464.57	$651.38	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $293.20 / $682.72	Professional		$205.24	$293.20	$682.72