Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.68 / $3,226.00 / $8,294.00	Facility		$155.68	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.65 / $209.91 / $298.01	Professional		$128.65	$209.91	$298.01
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 $128.72 / $212.72 / $331.32	Professional		$128.72	$212.72	$331.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $148.75 / $154.85 / $311.25	Professional		$148.75	$154.85	$311.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.09 / $216.48 / $610.00	Facility		$165.09	$216.48	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.36 / $228.31 / $407.00	Professional		$137.36	$228.31	$407.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.11 / $270.14 / $383.40	Professional		$216.11	$270.14	$383.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.90 / $241.00 / $383.60	Facility		$146.90	$241.00	$383.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $298.00 / $430.00	Professional		$252.00	$298.00	$430.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $131.79 / $165.84 / $303.08	Facility		$131.79	$165.84	$303.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $202.67 / $271.39 / $522.32	Professional		$202.67	$271.39	$522.32
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.25 / $247.28 / $423.04	Professional		$170.25	$247.28	$423.04