Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.37 / $821.98 / $821.98	Facility		$703.37	$821.98	$821.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.80 / $744.74 / $886.10	Professional		$646.80	$744.74	$886.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.95 / $762.47 / $1,100.77	Professional		$599.95	$762.47	$1,100.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $914.10 / $914.10 / $1,841.51	Professional		$914.10	$914.10	$1,841.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.15 / $638.35 / $1,295.84	Facility		$623.15	$638.35	$1,295.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.38 / $962.95 / $1,800.64	Professional		$682.38	$962.95	$1,800.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.16 / $850.78 / $1,076.42	Professional		$723.16	$850.78	$1,076.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $664.40 / $814.21 / $1,251.88	Facility		$664.40	$814.21	$1,251.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $978.82 / $1,241.26 / $1,796.06	Professional		$978.82	$1,241.26	$1,796.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $772.04 / $1,080.30 / $1,760.38	Facility		$772.04	$1,080.30	$1,760.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $772.04 / $1,080.30 / $1,760.38	Professional		$772.04	$1,080.30	$1,760.38
United Facility/Professional Facility Modifier Low / Median / High Price $879.02 / $879.02 / $879.02	Facility		$879.02	$879.02	$879.02
United Facility/Professional Professional Modifier Low / Median / High Price $335.93 / $631.29 / $1,289.83	Professional		$335.93	$631.29	$1,289.83