Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.34 / $3,116.00 / $6,891.54	Facility		$235.34	$3,116.00	$6,891.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.59 / $229.38 / $400.07	Professional		$117.59	$229.38	$400.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $112.01 / $186.98	Professional		$88.93	$112.01	$186.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.81 / $111.99 / $3,019.00	Professional		$101.81	$111.99	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.41 / $161.41 / $572.00	Facility		$161.41	$161.41	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $231.42 / $425.38	Professional		$113.93	$231.42	$425.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.64 / $267.42 / $316.04	Professional		$206.64	$267.42	$316.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.51 / $249.65 / $430.67	Facility		$140.51	$249.65	$430.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.69 / $354.00 / $467.00	Professional		$302.69	$354.00	$467.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $168.67 / $1,285.00	Facility		$110.81	$168.67	$1,285.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $311.67 / $1,285.00	Professional		$225.00	$311.67	$1,285.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $2,819.00 / $5,790.00	Facility		$1,629.00	$2,819.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.76 / $304.88 / $480.46	Professional		$194.76	$304.88	$480.46