Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.32 / $3,633.00 / $8,294.00	Facility		$227.32	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.32 / $216.39 / $247.69	Professional		$189.32	$216.39	$247.69
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 $178.87 / $231.03 / $329.99	Professional		$178.87	$231.03	$329.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $205.29 / $295.42 / $4,716.00	Professional		$205.29	$295.42	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.20 / $271.16 / $472.69	Professional		$194.20	$271.16	$472.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.92 / $244.70 / $301.80	Professional		$203.92	$244.70	$301.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.60 / $271.19 / $382.94	Facility		$208.60	$271.19	$382.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $296.00 / $433.85	Professional		$258.00	$296.00	$433.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $189.44 / $255.14 / $3,512.00	Facility		$189.44	$255.14	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $213.81 / $284.54 / $3,512.00	Professional		$213.81	$284.54	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.87 / $288.82 / $455.49	Professional		$174.87	$288.82	$455.49