Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,584.89 / $4,897.79	Facility		$537.03	$1,584.89	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $691.83	Professional		$478.63	$562.34	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $2,884.03	Facility		$724.44	$724.44	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $407.38	Professional		$229.09	$229.09	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $645.65	Professional		$549.54	$588.84	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,412.54 / $3,715.35	Facility		$741.31	$1,412.54	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,047.13	Professional		$870.96	$870.96	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $1,000.00	Professional		$724.44	$794.33	$1,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $691.83 / $1,122.02	Facility		$537.03	$691.83	$1,122.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,513.56	Professional		$467.74	$467.74	$1,513.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $794.33 / $1,819.70	Facility		$371.54	$794.33	$1,819.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $831.76 / $1,819.70	Professional		$371.54	$831.76	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $724.44 / $870.96	Facility		$436.52	$724.44	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $831.76	Professional		$302.00	$363.08	$831.76