Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $602.56	Professional		$478.63	$501.19	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $2,344.23	Facility		$851.14	$851.14	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $851.14	Professional		$501.19	$501.19	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $691.83	Professional		$489.78	$549.54	$691.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $588.84 / $812.83	Facility		$501.19	$588.84	$812.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $575.44 / $741.31	Facility		$478.63	$575.44	$741.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $741.31	Professional		$478.63	$575.44	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $831.76	Facility		$501.19	$831.76	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $524.81	Professional		$501.19	$501.19	$524.81