Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.63 / $313.63 / $316.97	Facility		$313.63	$313.63	$316.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.63 / $313.63 / $347.95	Professional		$289.63	$313.63	$347.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $594.66 / $594.66 / $631.54	Facility		$594.66	$594.66	$631.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $437.53	Professional		$350.00	$350.00	$437.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.98 / $331.98 / $406.51	Professional		$331.98	$331.98	$406.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.27 / $401.27 / $401.27	Facility		$401.27	$401.27	$401.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $292.93 / $401.27	Professional		$292.93	$292.93	$401.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.27 / $535.20 / $713.60	Professional		$416.27	$535.20	$713.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.30 / $365.73 / $667.23	Facility		$175.30	$365.73	$667.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $343.00 / $781.09 / $990.52	Professional		$343.00	$781.09	$990.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $325.80 / $450.12 / $744.62	Facility		$325.80	$450.12	$744.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $325.80 / $450.12 / $744.62	Professional		$325.80	$450.12	$744.62
United Facility/Professional Professional Modifier Low / Median / High Price $271.54 / $296.67 / $425.62	Professional		$271.54	$296.67	$425.62