Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.64 / $2,190.00 / $8,294.00	Facility		$312.64	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.55 / $217.93 / $327.58	Professional		$153.55	$217.93	$327.58
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 $157.04 / $200.82 / $332.01	Professional		$157.04	$200.82	$332.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $147.60 / $2,012.00	Professional		$147.60	$147.60	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.08 / $284.08 / $420.00	Facility		$284.08	$284.08	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.32 / $280.25 / $531.70	Professional		$171.32	$280.25	$531.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.63 / $373.53 / $441.44	Professional		$288.63	$373.53	$441.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.44 / $295.35 / $473.98	Facility		$162.44	$295.35	$473.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $299.00 / $334.00 / $535.00	Professional		$299.00	$334.00	$535.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $154.62 / $207.09 / $1,171.00	Facility		$154.62	$207.09	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $233.07 / $328.88 / $1,171.00	Professional		$233.07	$328.88	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.34 / $315.66 / $571.88	Professional		$192.34	$315.66	$571.88