Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $977.24	Facility		$776.25	$776.25	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $776.25	Professional		$741.31	$758.58	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $912.01 / $1,548.82	Facility		$457.09	$912.01	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,258.93	Professional		$758.58	$758.58	$1,258.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,071.52	Professional		$776.25	$912.01	$1,071.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $933.25 / $1,348.96	Facility		$758.58	$933.25	$1,348.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $912.01 / $1,174.90	Facility		$758.58	$912.01	$1,174.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,174.90	Professional		$758.58	$912.01	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $501.19 / $933.25	Facility		$457.09	$501.19	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $954.99	Professional		$794.33	$794.33	$954.99