Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.93 / $275.93 / $515.91	Facility		$275.93	$275.93	$515.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.40 / $275.93 / $344.34	Professional		$228.40	$275.93	$344.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.07 / $558.07 / $592.66	Facility		$558.07	$558.07	$592.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.37 / $339.37 / $438.29	Professional		$339.37	$339.37	$438.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $299.00 / $299.00 / $381.49	Professional		$299.00	$299.00	$381.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.04 / $419.04 / $419.04	Facility		$419.04	$419.04	$419.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.89 / $305.89 / $419.04	Professional		$305.89	$305.89	$419.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.65 / $502.26 / $669.68	Professional		$390.65	$502.26	$669.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.74 / $343.22 / $635.26	Facility		$179.74	$343.22	$635.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $356.00 / $697.59 / $929.55	Professional		$356.00	$697.59	$929.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $305.75 / $421.16 / $697.59	Facility		$305.75	$421.16	$697.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $305.75 / $421.16 / $697.59	Professional		$305.75	$421.16	$697.59
United Facility/Professional Professional Modifier Low / Median / High Price $251.63 / $278.41 / $419.39	Professional		$251.63	$278.41	$419.39