Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,570.40 / $7,079.46	Facility		$281.84	$2,570.40	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $501.19	Professional		$169.82	$251.19	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $457.09	Professional		$190.55	$288.40	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $194.98 / $1,737.80	Professional		$169.82	$194.98	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $323.59 / $616.60	Facility		$251.19	$323.59	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $467.74	Professional		$181.97	$275.42	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $645.65	Professional		$251.19	$309.03	$645.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $407.38	Professional		$281.84	$338.84	$407.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $281.84 / $467.74	Facility		$181.97	$281.84	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $524.81	Professional		$251.19	$251.19	$524.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $223.87 / $758.58	Facility		$177.83	$223.87	$758.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $891.25	Professional		$245.47	$309.03	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $812.83 / $2,398.83	Facility		$109.65	$812.83	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $416.87	Professional		$158.49	$245.47	$416.87