Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $448.98 / $888.08	Facility		$411.15	$448.98	$888.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $411.15 / $411.15	Professional		$386.96	$411.15	$411.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.27 / $884.45 / $1,397.17	Facility		$427.27	$884.45	$1,397.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $386.96 / $529.80	Professional		$386.96	$386.96	$529.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $427.26 / $427.26	Professional		$427.26	$427.26	$427.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Facility		$411.15	$411.15	$411.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Professional		$411.15	$411.15	$411.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.33 / $435.33 / $1,422.81	Professional		$435.33	$435.33	$1,422.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $334.32 / $460.49 / $694.84	Facility		$334.32	$460.49	$694.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $414.82 / $585.00 / $948.00	Professional		$414.82	$585.00	$948.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $403.08 / $463.54 / $604.62	Facility		$403.08	$463.54	$604.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $463.54 / $604.62	Professional		$403.08	$463.54	$604.62
United Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $427.26 / $475.63	Professional		$403.08	$427.26	$475.63