Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.35 / $4,796.00 / $9,918.00	Facility		$311.35	$4,796.00	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.37 / $311.35 / $377.47	Professional		$256.37	$311.35	$377.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.06 / $318.72 / $450.54	Professional		$253.06	$318.72	$450.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $265.80 / $297.70 / $518.30	Professional		$265.80	$297.70	$518.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.51 / $526.00 / $925.00	Facility		$310.51	$526.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.08 / $349.01 / $624.60	Professional		$264.08	$349.01	$624.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.84 / $316.05 / $483.74	Professional		$252.84	$316.05	$483.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $278.68 / $359.45 / $512.94	Facility		$278.68	$359.45	$512.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $333.00 / $396.00 / $621.30	Professional		$333.00	$396.00	$621.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $269.36 / $339.89 / $635.95	Facility		$269.36	$339.89	$635.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $269.36 / $339.89 / $635.95	Professional		$269.36	$339.89	$635.95
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.44 / $323.08 / $522.07	Professional		$213.44	$323.08	$522.07