Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.48 / $3,116.00 / $7,275.00	Facility		$395.48	$3,116.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $341.05 / $599.73	Professional		$248.00	$341.05	$599.73
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 $247.62 / $360.68 / $551.92	Professional		$247.62	$360.68	$551.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $274.47 / $276.33 / $820.31	Professional		$274.47	$276.33	$820.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.40 / $610.00 / $1,568.92	Facility		$420.40	$610.00	$1,568.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.55 / $384.49 / $665.08	Professional		$262.55	$384.49	$665.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.43 / $433.04 / $610.32	Professional		$346.43	$433.04	$610.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $278.22 / $405.45 / $630.21	Facility		$278.22	$405.45	$630.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $489.00 / $686.00	Professional		$405.00	$489.00	$686.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $252.86 / $323.38 / $585.65	Facility		$252.86	$323.38	$585.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $329.28 / $440.65 / $843.55	Professional		$329.28	$440.65	$843.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,466.00 / $21,401.00	Facility		$1,745.00	$10,466.00	$21,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.29 / $402.76 / $659.02	Professional		$272.29	$402.76	$659.02