Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $707.95 / $1,862.09	Facility		$588.84	$707.95	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $1,174.90	Professional		$588.84	$707.95	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,584.89	Facility		$1,479.11	$1,479.11	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,698.24	Professional		$812.83	$812.83	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,023.29	Professional		$776.25	$776.25	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $831.76	Facility		$645.65	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $831.76	Professional		$602.56	$602.56	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,089.30	Professional		$1,023.29	$1,479.11	$2,089.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,445.44	Professional		$724.44	$977.24	$1,445.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $954.99 / $1,819.70	Facility		$588.84	$954.99	$1,819.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,862.09	Professional		$794.33	$954.99	$1,862.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,202.26 / $3,162.28	Facility		$794.33	$1,202.26	$3,162.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $3,162.28	Professional		$794.33	$1,202.26	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $660.69 / $1,819.70	Facility		$446.68	$660.69	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $1,148.15	Professional		$645.65	$724.44	$1,148.15