Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $1,202.26	Professional		$309.03	$501.19	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $831.76	Professional		$371.54	$501.19	$831.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $446.68 / $630.96	Professional		$426.58	$446.68	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $794.33	Professional		$363.08	$467.74	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $676.08	Professional		$316.23	$380.19	$676.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $660.69	Professional		$398.11	$489.78	$660.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $758.58	Facility		$331.13	$478.63	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $467.74 / $741.31	Facility		$389.05	$467.74	$741.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $741.31	Professional		$389.05	$467.74	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $691.83	Professional		$302.00	$436.52	$691.83