Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.61 / $5,282.00 / $9,347.59	Facility		$554.61	$5,282.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.73 / $350.26 / $667.53	Professional		$286.73	$350.26	$667.53
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 $296.45 / $383.57 / $634.15	Professional		$296.45	$383.57	$634.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $346.17 / $370.27 / $3,019.00	Professional		$346.17	$370.27	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.15 / $367.15 / $776.00	Facility		$367.15	$367.15	$776.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.22 / $413.95 / $773.89	Professional		$311.22	$413.95	$773.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.50 / $401.46 / $474.45	Professional		$311.50	$401.46	$474.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $311.50 / $407.43 / $613.86	Facility		$311.50	$407.43	$613.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $386.00 / $439.00 / $608.00	Professional		$386.00	$439.00	$608.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $289.76 / $401.48 / $1,361.12	Facility		$289.76	$401.48	$1,361.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $289.76 / $401.48 / $1,361.12	Professional		$289.76	$401.48	$1,361.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.23 / $380.03 / $605.50	Professional		$240.23	$380.03	$605.50