Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.37 / $359.24 / $359.24	Facility		$297.37	$359.24	$359.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.37 / $359.24 / $553.24	Professional		$297.37	$359.24	$553.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.55 / $726.55 / $771.60	Facility		$726.55	$726.55	$771.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.73 / $452.73 / $581.54	Professional		$452.73	$452.73	$581.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $496.67	Professional		$390.00	$390.00	$496.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $454.00 / $454.00	Facility		$454.00	$454.00	$454.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $331.42 / $454.00	Professional		$331.42	$331.42	$454.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.59 / $653.90 / $871.86	Professional		$508.59	$653.90	$871.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $446.84 / $827.06	Facility		$234.00	$446.84	$827.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $478.00 / $908.19 / $1,210.21	Professional		$478.00	$908.19	$1,210.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $398.06 / $548.32 / $908.19	Facility		$398.06	$548.32	$908.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $398.06 / $548.32 / $908.19	Professional		$398.06	$548.32	$908.19
United Facility/Professional Professional Modifier Low / Median / High Price $327.61 / $362.47 / $546.01	Professional		$327.61	$362.47	$546.01