Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.87 / $2,840.00 / $8,920.00	Facility		$289.87	$2,840.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.59 / $542.50 / $1,200.11	Professional		$194.59	$542.50	$1,200.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.65 / $447.64 / $763.31	Professional		$163.65	$447.64	$763.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $193.32 / $251.19 / $922.00	Professional		$193.32	$251.19	$922.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.69 / $474.20 / $1,318.17	Professional		$186.69	$474.20	$1,318.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.51 / $661.81 / $819.39	Professional		$551.51	$661.81	$819.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $203.45 / $551.51 / $1,240.27	Facility		$203.45	$551.51	$1,240.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $745.00 / $1,083.00 / $1,251.00	Professional		$745.00	$1,083.00	$1,251.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $177.07 / $235.29 / $1,263.41	Facility		$177.07	$235.29	$1,263.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $679.53 / $1,050.38 / $1,791.01	Professional		$679.53	$1,050.38	$1,791.01
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $663.07 / $1,066.18 / $1,571.70	Professional		$663.07	$1,066.18	$1,571.70