Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.41 / $2,998.00 / $7,275.00	Facility		$377.41	$2,998.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.15 / $325.79 / $559.16	Professional		$242.15	$325.79	$559.16
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 $241.40 / $336.24 / $509.50	Professional		$241.40	$336.24	$509.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $263.95 / $266.77 / $744.63	Professional		$263.95	$266.77	$744.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.68 / $610.00 / $1,568.92	Facility		$406.68	$610.00	$1,568.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.79 / $372.51 / $622.27	Professional		$257.79	$372.51	$622.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.24 / $403.05 / $568.66	Professional		$322.24	$403.05	$568.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.70 / $389.98 / $596.19	Facility		$281.70	$389.98	$596.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $469.00 / $633.00	Professional		$390.00	$469.00	$633.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $246.60 / $314.97 / $569.75	Facility		$246.60	$314.97	$569.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $317.29 / $414.09 / $795.05	Professional		$317.29	$414.09	$795.05
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 $263.11 / $384.51 / $657.33	Professional		$263.11	$384.51	$657.33