Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.89 / $610.66 / $1,214.28	Facility		$529.89	$610.66	$1,214.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $556.38 / $556.38	Professional		$529.89	$556.38	$556.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.89 / $1,118.07 / $1,801.63	Facility		$529.89	$1,118.07	$1,801.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $529.89	Professional		$529.89	$529.89	$529.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $721.09 / $820.55 / $1,238.28	Professional		$721.09	$820.55	$1,238.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.90 / $499.90 / $529.89	Facility		$499.90	$499.90	$529.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $529.89	Professional		$529.89	$529.89	$529.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.41 / $613.79 / $635.87	Professional		$450.41	$613.79	$635.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $529.89 / $529.89 / $847.37	Facility		$529.89	$529.89	$847.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $494.93 / $525.21 / $678.26	Facility		$494.93	$525.21	$678.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $494.93 / $525.21 / $678.26	Professional		$494.93	$525.21	$678.26
United Facility/Professional Professional Modifier Low / Median / High Price $513.99 / $529.89 / $613.79	Professional		$513.99	$529.89	$613.79