Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.10 / $3,633.00 / $8,294.00	Facility		$207.10	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $222.21 / $281.17	Professional		$135.47	$222.21	$281.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.54 / $197.25 / $297.70	Professional		$119.54	$197.25	$297.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.93 / $200.06 / $3,774.00	Professional		$138.93	$200.06	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.22 / $225.46 / $392.20	Professional		$127.22	$225.46	$392.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.34 / $245.21 / $302.42	Professional		$204.34	$245.21	$302.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.79 / $237.75 / $384.14	Facility		$138.79	$237.75	$384.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $262.00 / $294.00 / $428.00	Professional		$262.00	$294.00	$428.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $121.23 / $160.69 / $1,683.00	Facility		$121.23	$160.69	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $195.40 / $278.45 / $1,683.00	Professional		$195.40	$278.45	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $2,827.00 / $5,790.00	Facility		$1,629.00	$2,827.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.20 / $277.01 / $461.28	Professional		$173.20	$277.01	$461.28