Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.33 / $593.33 / $593.33	Facility		$593.33	$593.33	$593.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.53 / $593.33 / $837.68	Professional		$458.53	$593.33	$837.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.79 / $610.79 / $610.79	Professional		$610.79	$610.79	$610.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $674.31 / $674.31 / $752.01	Professional		$674.31	$674.31	$752.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $766.82 / $766.82	Professional		$75.52	$766.82	$766.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $806.52 / $914.06 / $1,075.35	Professional		$806.52	$914.06	$1,075.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.01 / $445.54 / $636.48	Facility		$110.01	$445.54	$636.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Professional		$700.00	$700.00	$700.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.29 / $96.00 / $804.65	Facility		$63.29	$96.00	$804.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.29 / $109.85 / $804.65	Professional		$63.29	$109.85	$804.65
United Facility/Professional Professional Modifier Low / Median / High Price $323.30 / $458.79 / $617.10	Professional		$323.30	$458.79	$617.10