Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,258.93 / $5,248.07	Facility		$131.83	$1,258.93	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $295.12 / $707.95	Professional		$69.18	$295.12	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $295.12 / $602.56	Professional		$81.28	$295.12	$602.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $954.99	Professional		$97.72	$147.91	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $302.00 / $851.14	Professional		$85.11	$302.00	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $436.52 / $1,148.15	Professional		$63.10	$436.52	$1,148.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $346.74 / $758.58	Facility		$75.86	$346.74	$758.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $107.15 / $1,659.59	Facility		$74.13	$107.15	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $691.83 / $2,290.87	Professional		$436.52	$691.83	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $275.42 / $912.01	Professional		$69.18	$275.42	$912.01