Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.71 / $476.83 / $476.83	Facility		$394.71	$476.83	$476.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.71 / $476.83 / $583.13	Professional		$394.71	$476.83	$583.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.39 / $964.39 / $1,024.18	Facility		$964.39	$964.39	$1,024.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.78 / $506.78 / $633.52	Professional		$506.78	$506.78	$633.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $586.70 / $586.70 / $659.25	Professional		$586.70	$586.70	$659.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $551.53	Facility		$551.53	$551.53	$551.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $402.62 / $551.53	Professional		$402.62	$402.62	$551.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $675.07 / $867.95 / $1,157.27	Professional		$675.07	$867.95	$1,157.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $284.27 / $557.89 / $1,077.54	Facility		$284.27	$557.89	$1,077.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $726.90 / $1,157.00 / $1,606.36	Professional		$726.90	$1,157.00	$1,606.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $528.36 / $747.33 / $1,232.06	Facility		$528.36	$747.33	$1,232.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $528.36 / $747.33 / $1,232.06	Professional		$528.36	$747.33	$1,232.06
United Facility/Professional Professional Modifier Low / Median / High Price $399.83 / $481.12 / $724.74	Professional		$399.83	$481.12	$724.74