Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.60 / $370.60 / $374.54	Facility		$370.60	$370.60	$374.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.46 / $370.60 / $451.55	Professional		$346.46	$370.60	$451.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $702.69 / $702.69 / $746.26	Facility		$702.69	$702.69	$746.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.98 / $424.98 / $531.26	Professional		$424.98	$424.98	$531.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $392.28 / $393.79 / $480.35	Professional		$392.28	$393.79	$480.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.05 / $440.05 / $440.05	Facility		$440.05	$440.05	$440.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $321.24 / $440.05	Professional		$321.24	$321.24	$440.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.88 / $632.41 / $843.23	Professional		$491.88	$632.41	$843.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $215.25 / $432.16 / $788.42	Facility		$215.25	$432.16	$788.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.00 / $922.99 / $1,170.45	Professional		$398.00	$922.99	$1,170.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $384.98 / $531.89 / $879.88	Facility		$384.98	$531.89	$879.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $384.98 / $531.89 / $879.88	Professional		$384.98	$531.89	$879.88
United Facility/Professional Professional Modifier Low / Median / High Price $330.66 / $350.56 / $528.07	Professional		$330.66	$350.56	$528.07