Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.60 / $4,032.00 / $8,920.00	Facility		$272.60	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.58 / $240.23 / $272.60	Professional		$179.58	$240.23	$272.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $82.41 / $114.87	Professional		$65.50	$82.41	$114.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.06 / $139.77 / $916.00	Professional		$97.06	$139.77	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.42 / $293.77 / $713.87	Professional		$180.42	$293.77	$713.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.24 / $205.49 / $248.98	Professional		$171.24	$205.49	$248.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $188.42 / $289.18 / $415.17	Facility		$188.42	$289.18	$415.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $333.00 / $428.93	Professional		$249.00	$333.00	$428.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $213.95 / $396.59 / $1,380.00	Facility		$213.95	$396.59	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $213.95 / $396.59 / $1,380.00	Professional		$213.95	$396.59	$1,380.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $310.82 / $436.94	Professional		$156.38	$310.82	$436.94