Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.87 / $659.45 / $659.45	Facility		$545.87	$659.45	$659.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.87 / $659.45 / $743.98	Professional		$545.87	$659.45	$743.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,333.73 / $1,333.73 / $1,416.42	Facility		$1,333.73	$1,333.73	$1,416.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $722.95 / $722.95 / $946.91	Professional		$722.95	$722.95	$946.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $715.00 / $715.00 / $911.73	Professional		$715.00	$715.00	$911.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $712.92 / $752.15 / $752.15	Facility		$712.92	$752.15	$752.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $549.07 / $752.15	Professional		$549.07	$549.07	$752.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.61 / $1,200.35 / $1,600.48	Professional		$933.61	$1,200.35	$1,600.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $387.68 / $820.26 / $1,496.45	Facility		$387.68	$820.26	$1,496.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $677.00 / $1,667.16 / $2,221.56	Professional		$677.00	$1,667.16	$2,221.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $730.71 / $1,006.55 / $1,591.78	Facility		$730.71	$1,006.55	$1,591.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $730.71 / $1,006.55 / $1,591.78	Professional		$730.71	$1,006.55	$1,591.78
United Facility/Professional Professional Modifier Low / Median / High Price $545.27 / $665.38 / $999.74	Professional		$545.27	$665.38	$999.74