Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.49 / $2,705.00 / $7,275.00	Facility		$194.49	$2,705.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.81 / $260.47 / $554.29	Professional		$167.81	$260.47	$554.29
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 $168.02 / $364.72 / $643.04	Professional		$168.02	$364.72	$643.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $185.43 / $190.40 / $537.34	Professional		$185.43	$190.40	$537.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $789.83 / $1,140.85	Facility		$286.80	$789.83	$1,140.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.96 / $330.44 / $776.49	Professional		$185.96	$330.44	$776.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.51 / $502.33 / $661.04	Professional		$396.51	$502.33	$661.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $193.84 / $319.83 / $733.72	Facility		$193.84	$319.83	$733.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $243.08 / $490.00 / $834.00	Professional		$243.08	$490.00	$834.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $180.94 / $234.16 / $409.54	Facility		$180.94	$234.16	$409.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $218.87 / $541.58 / $1,025.26	Professional		$218.87	$541.58	$1,025.26
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 $181.33 / $429.04 / $803.72	Professional		$181.33	$429.04	$803.72