Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.70 / $578.29 / $578.29	Facility		$478.70	$578.29	$578.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.70 / $578.29 / $684.35	Professional		$478.70	$578.29	$684.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,169.59 / $1,169.59 / $1,242.11	Facility		$1,169.59	$1,169.59	$1,242.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.89 / $643.89 / $804.92	Professional		$643.89	$643.89	$804.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $614.49 / $614.49 / $799.53	Professional		$614.49	$614.49	$799.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $958.87	Facility		$736.69	$736.69	$958.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $537.78 / $736.69	Professional		$537.78	$537.78	$736.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $818.72 / $1,052.64 / $1,403.52	Professional		$818.72	$1,052.64	$1,403.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $344.78 / $719.34 / $1,306.86	Facility		$344.78	$719.34	$1,306.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $674.00 / $1,403.00 / $1,948.19	Professional		$674.00	$1,403.00	$1,948.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $586.13 / $885.31 / $1,430.16	Facility		$586.13	$885.31	$1,430.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $586.13 / $885.31 / $1,430.16	Professional		$586.13	$885.31	$1,430.16
United Facility/Professional Professional Modifier Low / Median / High Price $484.93 / $583.50 / $876.71	Professional		$484.93	$583.50	$876.71