Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $512.86	Professional		$263.03	$316.23	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $645.65	Facility		$616.60	$616.60	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $741.31	Professional		$354.81	$354.81	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $416.87	Professional		$323.59	$323.59	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $478.63 / $478.63	Facility		$288.40	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $478.63	Professional		$354.81	$354.81	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $851.14	Professional		$426.58	$616.60	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $602.56	Professional		$323.59	$398.11	$602.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $436.52 / $794.33	Facility		$251.19	$436.52	$794.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $398.11	Professional		$331.13	$363.08	$398.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $501.19 / $1,318.26	Facility		$331.13	$501.19	$1,318.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $1,318.26	Professional		$331.13	$501.19	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $436.52 / $794.33	Facility		$218.78	$436.52	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $446.68	Professional		$275.42	$302.00	$446.68