Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.47 / $413.56 / $8,294.00	Facility		$145.47	$413.56	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.94 / $204.75 / $320.54	Professional		$128.94	$204.75	$320.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.06 / $189.71 / $281.18	Professional		$118.06	$189.71	$281.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $204.77 / $974.00	Professional		$136.41	$204.77	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $217.72 / $383.06	Professional		$133.69	$217.72	$383.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.55 / $233.46 / $288.13	Professional		$194.55	$233.46	$288.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $145.47 / $237.72 / $335.51	Facility		$145.47	$237.72	$335.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $285.00 / $437.00	Professional		$244.00	$285.00	$437.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $115.03 / $168.98 / $1,171.00	Facility		$115.03	$168.98	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $188.02 / $272.29 / $1,171.00	Professional		$188.02	$272.29	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.94 / $249.50 / $454.21	Professional		$155.94	$249.50	$454.21