Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.73 / $610.73 / $1,357.18	Facility		$610.73	$610.73	$1,357.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.92 / $610.73 / $783.69	Professional		$454.92	$610.73	$783.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.25 / $786.13 / $1,238.66	Professional		$481.25	$786.13	$1,238.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $607.08 / $814.37 / $1,183.81	Professional		$607.08	$814.37	$1,183.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.90 / $782.98 / $1,223.99	Facility		$676.90	$782.98	$1,223.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.96 / $756.14 / $1,449.19	Professional		$409.96	$756.14	$1,449.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $681.51 / $813.43 / $1,042.31	Professional		$681.51	$813.43	$1,042.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $650.82 / $1,045.23	Facility		$366.00	$650.82	$1,045.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $468.00 / $926.77	Professional		$282.00	$468.00	$926.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $227.54 / $466.29 / $1,009.89	Facility		$227.54	$466.29	$1,009.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $232.46 / $609.53 / $1,206.28	Professional		$232.46	$609.53	$1,206.28
United Facility/Professional Professional Modifier Low / Median / High Price $328.82 / $648.86 / $1,246.90	Professional		$328.82	$648.86	$1,246.90