Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $3,991.00 / $8,294.00	Facility		$361.00	$3,991.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.02 / $361.00 / $604.98	Professional		$174.02	$361.00	$604.98
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 $130.74 / $164.67 / $274.89	Professional		$130.74	$164.67	$274.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $166.10 / $3,714.00	Professional		$151.00	$166.10	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $240.69 / $640.00	Facility		$240.69	$240.69	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.80 / $421.14 / $778.16	Professional		$168.80	$421.14	$778.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.88 / $296.81 / $349.32	Professional		$231.88	$296.81	$349.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $224.54 / $459.45 / $688.08	Facility		$224.54	$459.45	$688.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $369.21 / $603.49 / $826.00	Professional		$369.21	$603.49	$826.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $174.01 / $393.23 / $1,539.24	Facility		$174.01	$393.23	$1,539.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $301.44 / $513.13 / $1,934.32	Professional		$301.44	$513.13	$1,934.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $342.23 / $530.26 / $883.41	Professional		$342.23	$530.26	$883.41