Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.88 / $3,226.00 / $8,294.00	Facility		$334.88	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.33 / $370.98 / $503.99	Professional		$266.33	$370.98	$503.99
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 $266.86 / $391.07 / $610.80	Professional		$266.86	$391.07	$610.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $243.94 / $271.04 / $544.79	Professional		$243.94	$271.04	$544.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.45 / $340.00 / $610.00	Facility		$295.45	$340.00	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.69 / $406.50 / $735.93	Professional		$268.69	$406.50	$735.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.36 / $480.45 / $680.63	Professional		$384.36	$480.45	$680.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $271.99 / $428.65 / $683.69	Facility		$271.99	$428.65	$683.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $417.00 / $502.00 / $751.40	Professional		$417.00	$502.00	$751.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $264.04 / $333.64 / $653.29	Facility		$264.04	$333.64	$653.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $304.58 / $470.24 / $951.59	Professional		$304.58	$470.24	$951.59
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 $266.20 / $419.63 / $765.25	Professional		$266.20	$419.63	$765.25