Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $3,981.07 / $9,772.37	Facility		$239.88	$3,981.07	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $549.54	Professional		$173.78	$218.78	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $398.11	Professional		$190.55	$263.03	$398.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $2,630.27	Professional		$190.55	$223.87	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,412.54 / $1,862.09	Facility		$602.56	$1,412.54	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $436.52	Professional		$181.97	$245.47	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $446.68	Professional		$177.83	$213.80	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $371.54	Professional		$245.47	$288.40	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $257.04 / $398.11	Facility		$190.55	$257.04	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $436.52	Professional		$199.53	$199.53	$436.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $234.42 / $912.01	Facility		$190.55	$234.42	$912.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $912.01	Professional		$190.55	$234.42	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $6,025.60 / $13,803.84	Facility		$1,071.52	$6,025.60	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $380.19	Professional		$151.36	$223.87	$380.19