Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.21 / $653.21 / $653.21	Facility		$653.21	$653.21	$653.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.02 / $653.21 / $653.21	Professional		$503.02	$653.21	$653.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.51 / $911.51 / $911.51	Professional		$911.51	$911.51	$911.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $567.79 / $567.79 / $681.36	Professional		$567.79	$567.79	$681.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $359.59 / $359.59	Facility		$359.59	$359.59	$359.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $359.59 / $359.59	Professional		$305.64	$359.59	$359.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $708.77 / $850.53 / $1,124.58	Professional		$708.77	$850.53	$1,124.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $346.63 / $544.49 / $738.13	Facility		$346.63	$544.49	$738.13
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 $63.40 / $92.66 / $870.96	Facility		$63.40	$92.66	$870.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $116.88 / $870.96	Professional		$63.40	$116.88	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $459.07 / $525.96 / $875.97	Professional		$459.07	$525.96	$875.97