Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.17 / $1,641.74 / $8,294.00	Facility		$276.17	$1,641.74	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $228.93 / $430.82	Professional		$147.52	$228.93	$430.82
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 $153.27 / $233.80 / $343.92	Professional		$153.27	$233.80	$343.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $168.90 / $181.25 / $2,315.00	Professional		$168.90	$181.25	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.33 / $271.33 / $271.33	Facility		$271.33	$271.33	$271.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $239.25 / $437.81	Professional		$157.66	$239.25	$437.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.75 / $286.95 / $341.61	Professional		$256.75	$286.95	$341.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $149.33 / $225.72 / $338.93	Facility		$149.33	$225.72	$338.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $291.00 / $344.00 / $458.00	Professional		$291.00	$344.00	$458.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $145.46 / $204.31 / $1,098.00	Facility		$145.46	$204.31	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $204.57 / $301.44 / $1,148.86	Professional		$204.57	$301.44	$1,148.86
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 $184.50 / $248.08 / $448.20	Professional		$184.50	$248.08	$448.20