Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $549.54	Professional		$269.15	$323.59	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $660.69	Facility		$630.96	$630.96	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $776.25	Professional		$371.54	$371.54	$776.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $426.58	Professional		$331.13	$331.13	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $457.09 / $457.09	Facility		$295.12	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $457.09	Professional		$331.13	$331.13	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $870.96	Professional		$436.52	$630.96	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $616.60	Professional		$331.13	$407.38	$616.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $457.09 / $831.76	Facility		$269.15	$457.09	$831.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $363.08 / $407.38	Professional		$338.84	$363.08	$407.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $1,348.96	Facility		$338.84	$512.86	$1,348.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $1,348.96	Professional		$338.84	$512.86	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $457.09 / $831.76	Facility		$229.09	$457.09	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $467.74	Professional		$288.40	$309.03	$467.74