Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $524.81 / $912.01	Facility		$309.03	$524.81	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $776.25	Professional		$331.13	$524.81	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $776.25	Facility		$741.31	$741.31	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,445.44	Professional		$691.83	$691.83	$1,445.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $630.96 / $630.96	Facility		$446.68	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $630.96	Professional		$467.74	$467.74	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,148.15	Professional		$501.19	$660.69	$1,148.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $630.96 / $1,071.52	Facility		$407.38	$630.96	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $912.01	Professional		$588.84	$630.96	$912.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $831.76 / $1,445.44	Facility		$537.03	$831.76	$1,445.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $1,445.44	Professional		$537.03	$831.76	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $478.63 / $1,122.02	Facility		$346.74	$478.63	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $851.14	Professional		$478.63	$524.81	$851.14