Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $933.25	Professional		$478.63	$575.44	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,174.90	Facility		$1,122.02	$1,122.02	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,380.38	Professional		$660.69	$660.69	$1,380.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $758.58	Professional		$588.84	$588.84	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $724.44 / $724.44	Facility		$467.74	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $724.44	Professional		$524.81	$524.81	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,548.82	Professional		$776.25	$1,122.02	$1,548.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $1,096.48	Professional		$562.34	$724.44	$1,096.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $812.83 / $1,479.11	Facility		$478.63	$812.83	$1,479.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $645.65 / $724.44	Professional		$602.56	$645.65	$724.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $912.01 / $2,398.83	Facility		$602.56	$912.01	$2,398.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $2,398.83	Professional		$602.56	$912.01	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $812.83 / $1,479.11	Facility		$407.38	$812.83	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $549.54 / $831.76	Professional		$512.86	$549.54	$831.76