Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.29 / $281.29 / $1,002.37	Facility		$281.29	$281.29	$1,002.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.84 / $281.29 / $332.88	Professional		$232.84	$281.29	$332.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.90 / $568.90 / $604.16	Facility		$568.90	$568.90	$604.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.80 / $325.80 / $405.13	Professional		$325.80	$325.80	$405.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $378.47 / $378.47 / $388.90	Professional		$378.47	$378.47	$388.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $325.37	Facility		$325.37	$325.37	$325.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $237.52 / $237.52	Professional		$237.52	$237.52	$237.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.23 / $512.01 / $682.68	Professional		$398.23	$512.01	$682.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $246.81 / $381.38 / $586.01	Facility		$246.81	$381.38	$586.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $711.13 / $947.61	Professional		$79.00	$711.13	$947.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $328.17 / $445.26 / $645.69	Facility		$328.17	$445.26	$645.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $328.17 / $445.26 / $645.69	Professional		$328.17	$445.26	$645.69
United Facility/Professional Professional Modifier Low / Median / High Price $264.36 / $283.82 / $452.40	Professional		$264.36	$283.82	$452.40