Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.83 / $327.17 / $327.17	Facility		$270.83	$327.17	$327.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.83 / $327.17 / $387.19	Professional		$270.83	$327.17	$387.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $661.72 / $661.72 / $702.75	Facility		$661.72	$661.72	$702.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.47 / $396.47 / $495.62	Professional		$396.47	$396.47	$495.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $402.56 / $402.56 / $452.35	Professional		$402.56	$402.56	$452.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $419.48 / $419.48	Facility		$419.48	$419.48	$419.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $306.22 / $419.48	Professional		$306.22	$306.22	$419.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.20 / $595.54 / $794.06	Professional		$463.20	$595.54	$794.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.06 / $387.29 / $739.36	Facility		$195.06	$387.29	$739.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $827.15 / $1,102.20	Professional		$410.00	$827.15	$1,102.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $362.53 / $508.70 / $845.38	Facility		$362.53	$508.70	$845.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $362.53 / $508.70 / $845.38	Professional		$362.53	$508.70	$845.38
United Facility/Professional Professional Modifier Low / Median / High Price $274.35 / $330.12 / $497.28	Professional		$274.35	$330.12	$497.28