Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.84 / $2,190.00 / $8,294.00	Facility		$183.84	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.17 / $155.66 / $255.71	Professional		$122.17	$155.66	$255.71
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 $134.87 / $183.68 / $262.83	Professional		$134.87	$183.68	$262.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $1,013.00	Professional		$122.64	$122.64	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.31 / $236.31 / $236.31	Facility		$236.31	$236.31	$236.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $187.24 / $331.49	Professional		$146.97	$187.24	$331.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.33 / $205.66 / $244.84	Professional		$184.33	$205.66	$244.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.31 / $179.95 / $256.80	Facility		$132.31	$179.95	$256.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $227.00 / $337.00	Professional		$200.00	$227.00	$337.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.20 / $168.74 / $982.00	Facility		$87.20	$168.74	$982.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $138.87 / $207.56 / $1,082.00	Professional		$138.87	$207.56	$1,082.00
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 $128.00 / $176.84 / $306.08	Professional		$128.00	$176.84	$306.08