Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $977.24 / $1,412.54	Facility		$30.20	$977.24	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $1,479.11	Professional		$30.20	$47.86	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,202.26	Professional		$1,096.48	$1,096.48	$1,202.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.90 / $5.37	Professional		$4.27	$4.90	$5.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,348.96	Professional		$676.08	$1,023.29	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,348.96	Professional		$812.83	$1,148.15	$1,348.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $2,454.71 / $4,786.30	Facility		$43.65	$2,454.71	$4,786.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $64.57 / $102.33	Facility		$23.44	$64.57	$102.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $64.57 / $102.33	Professional		$23.44	$64.57	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $83.18	Professional		$44.67	$60.26	$83.18