Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.14 / $583.66 / $583.66	Facility		$483.14	$583.66	$583.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.14 / $583.66 / $649.63	Professional		$483.14	$583.66	$649.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,180.47 / $1,180.47 / $1,253.66	Facility		$1,180.47	$1,180.47	$1,253.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.42 / $654.42 / $840.65	Professional		$654.42	$654.42	$840.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $620.20 / $620.20 / $620.20	Professional		$620.20	$620.20	$620.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.53 / $944.53 / $944.53	Facility		$944.53	$944.53	$944.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.51 / $689.51 / $944.53	Professional		$689.51	$689.51	$944.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.33 / $1,062.42 / $1,416.56	Professional		$826.33	$1,062.42	$1,416.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $347.99 / $726.00 / $1,318.97	Facility		$347.99	$726.00	$1,318.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $680.00 / $1,475.59 / $1,966.28	Professional		$680.00	$1,475.59	$1,966.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $610.11 / $893.53 / $1,443.45	Facility		$610.11	$893.53	$1,443.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $610.11 / $893.53 / $1,443.45	Professional		$610.11	$893.53	$1,443.45
United Facility/Professional Professional Modifier Low / Median / High Price $498.37 / $588.91 / $867.63	Professional		$498.37	$588.91	$867.63