Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $676.08	Professional		$446.68	$549.54	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $426.58 / $426.58	Professional		$75.86	$426.58	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $1,023.29	Professional		$776.25	$870.96	$1,023.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $416.87 / $549.54	Facility		$91.20	$416.87	$549.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $107.15 / $741.31	Facility		$58.88	$107.15	$741.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $741.31	Professional		$58.88	$107.15	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $263.03 / $575.44	Facility		$34.67	$263.03	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $724.44	Professional		$302.00	$426.58	$724.44