Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $407.38 / $407.38	Facility		$398.11	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $575.44	Professional		$281.84	$398.11	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $831.76	Facility		$776.25	$776.25	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $812.83	Professional		$398.11	$398.11	$812.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $537.03	Professional		$407.38	$407.38	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $489.78 / $489.78	Facility		$316.23	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $489.78	Professional		$354.81	$354.81	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $1,096.48	Professional		$537.03	$776.25	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $758.58	Professional		$436.52	$512.86	$758.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $524.81 / $977.24	Facility		$281.84	$524.81	$977.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $416.87 / $501.19	Professional		$389.05	$416.87	$501.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $630.96 / $1,659.59	Facility		$416.87	$630.96	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $1,659.59	Professional		$416.87	$630.96	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $489.78 / $891.25	Facility		$165.96	$489.78	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $575.44	Professional		$323.59	$380.19	$575.44