Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Facility		$762.88	$762.88	$762.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $762.88 / $762.88	Professional		$718.00	$762.88	$762.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $718.00 / $958.38	Professional		$718.00	$718.00	$958.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $403.61 / $403.61 / $403.61	Professional		$403.61	$403.61	$403.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Facility		$762.88	$762.88	$762.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Professional		$762.88	$762.88	$762.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,072.23 / $1,797.75 / $1,797.75	Professional		$1,072.23	$1,797.75	$1,797.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $744.93 / $897.50 / $1,396.07	Facility		$744.93	$897.50	$1,396.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $595.00 / $811.17	Professional		$264.00	$595.00	$811.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $744.92 / $852.63 / $1,117.38	Facility		$744.92	$852.63	$1,117.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $744.92 / $852.63 / $1,117.38	Professional		$744.92	$852.63	$1,117.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,997.50 / $1,997.50 / $2,119.15	Professional		$1,997.50	$1,997.50	$2,119.15