Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $436.52	Facility		$323.59	$323.59	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $575.44	Professional		$323.59	$436.52	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $660.69	Professional		$501.19	$501.19	$660.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $371.54 / $371.54	Professional		$63.10	$371.54	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $707.95	Professional		$426.58	$512.86	$707.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $338.84 / $588.84	Facility		$74.13	$338.84	$588.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $426.58 / $2,454.71	Facility		$52.48	$426.58	$2,454.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $436.52 / $2,454.71	Professional		$52.48	$436.52	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $251.19 / $426.58	Facility		$33.88	$251.19	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $691.83	Professional		$295.12	$346.74	$691.83