Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.73 / $491.36 / $491.36	Facility		$406.73	$491.36	$491.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.73 / $491.36 / $567.77	Professional		$406.73	$491.36	$567.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $993.78 / $993.78 / $1,055.39	Facility		$993.78	$993.78	$1,055.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.33 / $604.33 / $755.47	Professional		$604.33	$604.33	$755.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $533.00 / $533.00 / $679.34	Professional		$533.00	$533.00	$679.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.97 / $620.97 / $620.97	Facility		$620.97	$620.97	$620.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $453.31 / $620.97	Professional		$453.31	$453.31	$620.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.65 / $894.40 / $1,192.54	Professional		$695.65	$894.40	$1,192.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $320.07 / $611.19 / $1,131.25	Facility		$320.07	$611.19	$1,131.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $590.00 / $1,242.23 / $1,655.31	Professional		$590.00	$1,242.23	$1,655.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $544.46 / $750.00 / $1,242.23	Facility		$544.46	$750.00	$1,242.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $544.46 / $750.00 / $1,242.23	Professional		$544.46	$750.00	$1,242.23
United Facility/Professional Professional Modifier Low / Median / High Price $448.10 / $495.79 / $746.83	Professional		$448.10	$495.79	$746.83