Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.56 / $599.87 / $599.87	Facility		$496.56	$599.87	$599.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.56 / $599.87 / $745.76	Professional		$496.56	$599.87	$745.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,213.25 / $1,213.25 / $1,288.47	Facility		$1,213.25	$1,213.25	$1,288.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.62 / $663.62 / $862.48	Professional		$663.62	$663.62	$862.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $651.00 / $651.00 / $829.37	Professional		$651.00	$651.00	$829.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $680.86	Facility		$680.86	$680.86	$680.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $497.03 / $680.86	Professional		$497.03	$497.03	$680.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $849.28 / $1,091.93 / $1,455.90	Professional		$849.28	$1,091.93	$1,455.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $350.94 / $746.18 / $1,361.29	Facility		$350.94	$746.18	$1,361.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $613.00 / $1,516.56 / $2,020.88	Professional		$613.00	$1,516.56	$2,020.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $664.71 / $918.35 / $1,483.53	Facility		$664.71	$918.35	$1,483.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $664.71 / $918.35 / $1,483.53	Professional		$664.71	$918.35	$1,483.53
United Facility/Professional Facility Modifier Low / Median / High Price $368.48 / $532.25 / $616.42	Facility		$368.48	$532.25	$616.42
United Facility/Professional Professional Modifier Low / Median / High Price $493.58 / $605.27 / $911.77	Professional		$493.58	$605.27	$911.77