Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.52 / $637.64 / $5,743.00	Facility		$257.52	$637.64	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.27 / $293.92 / $542.83	Professional		$181.27	$293.92	$542.83
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 $185.96 / $287.89 / $435.39	Professional		$185.96	$287.89	$435.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $182.67 / $182.67 / $974.00	Professional		$182.67	$182.67	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.62 / $329.62 / $329.62	Facility		$329.62	$329.62	$329.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.96 / $303.79 / $533.28	Professional		$198.96	$303.79	$533.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.31 / $361.83 / $430.75	Professional		$323.31	$361.83	$430.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.41 / $279.66 / $411.82	Facility		$181.41	$279.66	$411.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $339.00 / $408.00 / $579.00	Professional		$339.00	$408.00	$579.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $183.92 / $249.42 / $1,169.82	Facility		$183.92	$249.42	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $254.21 / $370.94 / $1,294.34	Professional		$254.21	$370.94	$1,294.34
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 $220.63 / $305.35 / $533.48	Professional		$220.63	$305.35	$533.48