Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.73 / $700.73 / $700.73	Facility		$700.73	$700.73	$700.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.62 / $700.73 / $754.80	Professional		$489.62	$700.73	$754.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.49 / $615.49 / $615.49	Professional		$615.49	$615.49	$615.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $694.96 / $694.96 / $775.11	Professional		$694.96	$694.96	$775.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.20 / $428.20 / $428.20	Facility		$428.20	$428.20	$428.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $428.20 / $428.20	Professional		$84.14	$428.20	$428.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.10 / $941.91 / $1,108.13	Professional		$831.10	$941.91	$1,108.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $459.30 / $700.73	Facility		$113.39	$459.30	$700.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $578.04 / $578.04 / $578.04	Professional		$578.04	$578.04	$578.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $113.39 / $934.30	Facility		$74.73	$113.39	$934.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $129.74 / $934.30	Professional		$74.73	$129.74	$934.30
United Facility/Professional Professional Modifier Low / Median / High Price $333.29 / $472.96 / $718.24	Professional		$333.29	$472.96	$718.24