Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.70 / $323.41 / $323.41	Facility		$267.70	$323.41	$323.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $323.41 / $394.45	Professional		$267.70	$323.41	$394.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.09 / $654.09 / $694.64	Facility		$654.09	$654.09	$694.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.03 / $383.03 / $501.35	Professional		$383.03	$383.03	$501.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $351.00 / $447.13	Professional		$351.00	$351.00	$447.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $408.71 / $408.71	Facility		$408.71	$408.71	$408.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $298.36 / $408.71	Professional		$298.36	$298.36	$408.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.86 / $588.67 / $784.91	Professional		$457.86	$588.67	$784.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.66 / $402.28 / $744.58	Facility		$210.66	$402.28	$744.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $817.61 / $1,089.52	Professional		$395.00	$817.61	$1,089.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $358.36 / $493.64 / $817.61	Facility		$358.36	$493.64	$817.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $358.36 / $493.64 / $817.61	Professional		$358.36	$493.64	$817.61
United Facility/Professional Professional Modifier Low / Median / High Price $294.93 / $326.32 / $502.85	Professional		$294.93	$326.32	$502.85