Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.49 / $3,633.00 / $8,920.00	Facility		$324.49	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $175.79 / $357.30	Professional		$146.00	$175.79	$357.30
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 $144.13 / $184.32 / $252.79	Professional		$144.13	$184.32	$252.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.27 / $261.02 / $3,426.00	Professional		$181.27	$261.02	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.81 / $219.36 / $391.21	Professional		$155.81	$219.36	$391.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $178.99 / $220.76	Professional		$149.16	$178.99	$220.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.79 / $215.74 / $334.11	Facility		$175.79	$215.74	$334.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $223.00 / $365.42	Professional		$197.00	$223.00	$365.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $213.89 / $1,683.00	Facility		$163.28	$213.89	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $163.28 / $213.89 / $1,683.00	Professional		$163.28	$213.89	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $222.92 / $337.24	Professional		$127.38	$222.92	$337.24