Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.26 / $2,260.88 / $6,827.70	Facility		$270.26	$2,260.88	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.02 / $212.72 / $308.92	Professional		$96.02	$212.72	$308.92
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 $95.37 / $201.83 / $328.00	Professional		$95.37	$201.83	$328.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.65 / $174.08 / $2,413.00	Professional		$126.65	$174.08	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.36 / $247.01 / $448.19	Professional		$110.36	$247.01	$448.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.12 / $273.74 / $337.62	Professional		$228.12	$273.74	$337.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.50 / $228.12 / $380.25	Facility		$108.50	$228.12	$380.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $226.78 / $331.00 / $581.00	Professional		$226.78	$331.00	$581.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $103.69 / $137.08 / $1,171.00	Facility		$103.69	$137.08	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $251.17 / $324.19 / $1,171.00	Professional		$251.17	$324.19	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.71 / $351.99 / $542.14	Professional		$204.71	$351.99	$542.14