Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.29 / $722.93 / $5,629.48	Facility		$204.29	$722.93	$5,629.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $248.68 / $462.68	Professional		$142.00	$248.68	$462.68
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 $144.07 / $239.15 / $369.12	Professional		$144.07	$239.15	$369.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.05 / $140.05 / $974.00	Professional		$140.05	$140.05	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.70 / $253.70 / $253.70	Facility		$253.70	$253.70	$253.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.87 / $250.18 / $417.11	Professional		$153.87	$250.18	$417.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.12 / $307.23 / $365.75	Professional		$273.12	$307.23	$365.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.69 / $225.78 / $345.94	Facility		$139.69	$225.78	$345.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $337.00 / $485.35	Professional		$280.00	$337.00	$485.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $137.53 / $191.79 / $1,169.82	Facility		$137.53	$191.79	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $191.54 / $315.20 / $1,172.84	Professional		$191.54	$315.20	$1,172.84
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 $179.86 / $241.58 / $443.04	Professional		$179.86	$241.58	$443.04