Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $363.08 / $851.14	Facility		$141.25	$363.08	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $302.00 / $389.05	Professional		$114.82	$302.00	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $2,570.40	Facility		$1,621.81	$2,137.96	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $117.49	Professional		$66.07	$66.07	$117.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $371.54	Professional		$316.23	$331.13	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $794.33 / $2,089.30	Facility		$416.87	$794.33	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $501.19 / $588.84	Professional		$97.72	$501.19	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $575.44	Professional		$407.38	$446.68	$575.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $309.03 / $562.34	Facility		$173.78	$309.03	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $851.14	Professional		$107.15	$107.15	$851.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $213.80 / $616.60	Facility		$123.03	$213.80	$616.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $549.54	Professional		$123.03	$213.80	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $407.38 / $489.78	Facility		$100.00	$407.38	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $190.55	Professional		$69.18	$83.18	$190.55