Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $891.25 / $1,174.90	Facility		$416.87	$891.25	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $457.09	Professional		$416.87	$416.87	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $831.76 / $1,445.44	Facility		$416.87	$831.76	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $707.95	Professional		$416.87	$416.87	$707.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $1,023.29	Professional		$602.56	$676.08	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $416.87 / $416.87	Facility		$398.11	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $549.54	Professional		$354.81	$416.87	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $416.87 / $676.08	Facility		$39.81	$416.87	$676.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $512.86 / $616.60	Facility		$398.11	$512.86	$616.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $616.60	Professional		$398.11	$512.86	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $436.52 / $741.31	Facility		$416.87	$436.52	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $416.87 / $524.81	Professional		$407.38	$416.87	$524.81