Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.72 / $424.72 / $429.25	Facility		$424.72	$424.72	$429.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.75 / $424.72 / $429.25	Professional		$362.75	$424.72	$429.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $805.31 / $805.31 / $855.24	Facility		$805.31	$805.31	$855.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.99 / $368.99 / $475.27	Professional		$368.99	$368.99	$475.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $432.00 / $550.51	Professional		$432.00	$432.00	$550.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $427.13 / $427.13	Facility		$427.13	$427.13	$427.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $311.80 / $427.13	Professional		$311.80	$311.80	$427.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $563.72 / $724.78 / $966.37	Professional		$563.72	$724.78	$966.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.53 / $485.05 / $895.89	Facility		$194.53	$485.05	$895.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $1,057.78 / $1,341.39	Professional		$340.00	$1,057.78	$1,341.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $441.20 / $607.75 / $1,006.64	Facility		$441.20	$607.75	$1,006.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $441.20 / $607.75 / $1,006.64	Professional		$441.20	$607.75	$1,006.64
United Facility/Professional Professional Modifier Low / Median / High Price $340.08 / $401.76 / $576.37	Professional		$340.08	$401.76	$576.37