Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.93 / $1,661.00 / $6,827.70	Facility		$155.93	$1,661.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.28 / $526.75 / $895.56	Professional		$131.28	$526.75	$895.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.37 / $328.37 / $870.04	Professional		$126.37	$328.37	$870.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.61 / $163.61 / $2,315.00	Professional		$163.61	$163.61	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.02 / $229.02 / $229.02	Facility		$229.02	$229.02	$229.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $376.65 / $1,122.74	Professional		$137.66	$376.65	$1,122.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $649.22 / $738.55 / $873.50	Professional		$649.22	$738.55	$873.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.50 / $541.21 / $1,036.28	Facility		$131.50	$541.21	$1,036.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $740.00 / $873.00 / $1,885.00	Professional		$740.00	$873.00	$1,885.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $141.72 / $200.23 / $2,251.00	Facility		$141.72	$200.23	$2,251.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $647.58 / $968.75 / $2,657.76	Professional		$647.58	$968.75	$2,657.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.62 / $759.36 / $1,281.42	Professional		$501.62	$759.36	$1,281.42