Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,122.02	Professional		$602.56	$724.44	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,479.11	Facility		$1,412.54	$1,412.54	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,698.24	Professional		$812.83	$812.83	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $954.99	Professional		$741.31	$741.31	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $870.96 / $870.96	Facility		$575.44	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $870.96	Professional		$630.96	$630.96	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $1,949.84	Professional		$977.24	$1,412.54	$1,949.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,380.38	Professional		$676.08	$912.01	$1,380.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,000.00 / $1,819.70	Facility		$588.84	$1,000.00	$1,819.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,023.29	Professional		$758.58	$912.01	$1,023.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,148.15 / $3,019.95	Facility		$758.58	$1,148.15	$3,019.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $3,019.95	Professional		$758.58	$1,148.15	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,000.00 / $1,819.70	Facility		$501.19	$1,000.00	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $676.08 / $1,023.29	Professional		$630.96	$676.08	$1,023.29