Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.99 / $3,628.91 / $8,563.03	Facility		$333.99	$3,628.91	$8,563.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $323.22 / $532.74	Professional		$158.13	$323.22	$532.74
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 $148.50 / $292.38 / $445.38	Professional		$148.50	$292.38	$445.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.51 / $239.21 / $3,426.00	Professional		$165.51	$239.21	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.34 / $309.42 / $606.50	Professional		$173.34	$309.42	$606.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.27 / $349.52 / $431.08	Professional		$291.27	$349.52	$431.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.55 / $333.99 / $592.12	Facility		$172.55	$333.99	$592.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.00 / $391.00 / $607.00	Professional		$338.00	$391.00	$607.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $152.15 / $207.17 / $1,683.00	Facility		$152.15	$207.17	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $293.89 / $430.54 / $1,683.00	Professional		$293.89	$430.54	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.45 / $449.49 / $675.00	Professional		$264.45	$449.49	$675.00