Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.24 / $276.24 / $279.17	Facility		$276.24	$276.24	$279.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.90 / $276.24 / $279.17	Professional		$195.90	$276.24	$279.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $523.76 / $523.76 / $556.23	Facility		$523.76	$523.76	$556.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.84 / $248.84 / $325.24	Professional		$248.84	$248.84	$325.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $281.00 / $293.52 / $358.04	Professional		$281.00	$293.52	$358.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $274.52	Facility		$274.52	$274.52	$274.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $274.52	Professional		$200.41	$200.41	$274.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.63 / $471.38 / $628.51	Professional		$366.63	$471.38	$628.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $315.45 / $587.66	Facility		$133.44	$315.45	$587.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $687.96 / $872.41	Professional		$234.00	$687.96	$872.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $286.95 / $395.29 / $654.70	Facility		$286.95	$395.29	$654.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $286.95 / $395.29 / $654.70	Professional		$286.95	$395.29	$654.70
United Facility/Professional Professional Modifier Low / Median / High Price $233.29 / $261.30 / $374.87	Professional		$233.29	$261.30	$374.87