Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.16 / $3,226.00 / $8,920.00	Facility		$115.16	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $253.23 / $841.94	Professional		$99.43	$253.23	$841.94
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 $100.48 / $246.03 / $955.24	Professional		$100.48	$246.03	$955.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.19 / $109.19 / $392.01	Professional		$109.19	$109.19	$392.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.35 / $610.00 / $1,035.00	Facility		$169.35	$610.00	$1,035.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.21 / $356.00 / $1,245.71	Professional		$106.21	$356.00	$1,245.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $587.46 / $734.33 / $905.38	Professional		$587.46	$734.33	$905.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.11 / $611.74 / $1,083.68	Facility		$115.11	$611.74	$1,083.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.05 / $749.00 / $1,413.00	Professional		$234.05	$749.00	$1,413.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.38 / $140.15 / $442.11	Facility		$106.38	$140.15	$442.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $636.66 / $830.85 / $1,665.32	Professional		$636.66	$830.85	$1,665.32
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,521.00 / $5,301.00	Facility		$500.00	$2,521.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.46 / $801.77 / $1,227.79	Professional		$509.46	$801.77	$1,227.79