Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.07 / $5,042.39 / $13,323.85	Facility		$324.07	$5,042.39	$13,323.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.26 / $289.44 / $426.17	Professional		$196.26	$289.44	$426.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $192.71	Professional		$0.02	$0.02	$192.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $272.58 / $272.58 / $515.17	Professional		$272.58	$272.58	$515.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.87 / $238.87 / $238.87	Facility		$238.87	$238.87	$238.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $996.25 / $996.25 / $996.25	Professional		$996.25	$996.25	$996.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.10 / $256.02 / $296.14	Professional		$200.10	$256.02	$296.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $188.54 / $282.70 / $454.20	Facility		$188.54	$282.70	$454.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $349.00 / $494.06	Professional		$75.00	$349.00	$494.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $155.69 / $259.14 / $940.18	Facility		$155.69	$259.14	$940.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $155.69 / $259.14 / $940.18	Professional		$155.69	$259.14	$940.18
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $332.33 / $708.96	Professional		$118.88	$332.33	$708.96