Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $794.33 / $1,479.11	Facility		$281.84	$794.33	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $426.58	Professional		$251.19	$295.12	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $251.19	Professional		$151.36	$151.36	$251.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $338.84	Professional		$288.40	$302.00	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $933.25 / $1,905.46	Facility		$380.19	$933.25	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $416.87 / $501.19	Professional		$218.78	$416.87	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $524.81	Professional		$371.54	$416.87	$524.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $426.58 / $616.60	Facility		$295.12	$426.58	$616.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $794.33	Professional		$245.47	$245.47	$794.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $371.54 / $724.44	Facility		$263.03	$371.54	$724.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $724.44	Professional		$263.03	$371.54	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $426.58	Professional		$158.49	$186.21	$426.58