Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.44 / $694.94 / $5,743.00	Facility		$246.44	$694.94	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.34 / $293.36 / $553.52	Professional		$187.34	$293.36	$553.52
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 $189.45 / $293.29 / $442.85	Professional		$189.45	$293.29	$442.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $176.62 / $176.62 / $974.00	Professional		$176.62	$176.62	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.98 / $335.98 / $335.98	Facility		$335.98	$335.98	$335.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.57 / $308.87 / $542.73	Professional		$202.57	$308.87	$542.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.80 / $367.92 / $438.00	Professional		$328.80	$367.92	$438.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $184.90 / $286.02 / $419.00	Facility		$184.90	$286.02	$419.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $415.00 / $589.00	Professional		$345.00	$415.00	$589.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $184.03 / $257.60 / $1,169.82	Facility		$184.03	$257.60	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $253.89 / $383.82 / $1,314.06	Professional		$253.89	$383.82	$1,314.06
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 $230.94 / $310.00 / $541.60	Professional		$230.94	$310.00	$541.60