Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $794.33	Professional		$416.87	$537.03	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,096.48	Facility		$1,047.13	$1,047.13	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $1,174.90	Professional		$562.34	$562.34	$1,174.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $707.95	Professional		$549.54	$549.54	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $588.84	Facility		$398.11	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $588.84	Professional		$426.58	$426.58	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,445.44	Professional		$724.44	$1,047.13	$1,445.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $676.08 / $1,023.29	Professional		$630.96	$676.08	$1,023.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $741.31 / $1,318.26	Facility		$407.38	$741.31	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $676.08	Professional		$562.34	$630.96	$676.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $851.14 / $2,238.72	Facility		$562.34	$851.14	$2,238.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $2,238.72	Professional		$562.34	$851.14	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $707.95 / $1,258.93	Facility		$354.81	$707.95	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $758.58	Professional		$457.09	$512.86	$758.58