Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.30 / $3,281.39 / $8,920.00	Facility		$220.30	$3,281.39	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.21 / $259.70 / $483.48	Professional		$170.21	$259.70	$483.48
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 $183.10 / $266.25 / $391.52	Professional		$183.10	$266.25	$391.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $201.34 / $216.00 / $2,315.00	Professional		$201.34	$216.00	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.16 / $325.16 / $325.16	Facility		$325.16	$325.16	$325.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.58 / $271.98 / $513.95	Professional		$184.58	$271.98	$513.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.44 / $326.06 / $388.16	Professional		$292.44	$326.06	$388.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.36 / $262.36 / $402.07	Facility		$179.36	$262.36	$402.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $391.00 / $520.00	Professional		$331.00	$391.00	$520.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $171.38 / $242.06 / $2,156.00	Facility		$171.38	$242.06	$2,156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $225.84 / $346.15 / $2,156.00	Professional		$225.84	$346.15	$2,156.00
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 $188.14 / $274.27 / $489.63	Professional		$188.14	$274.27	$489.63