Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.80 / $2,012.00 / $8,294.00	Facility		$206.80	$2,012.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $208.59 / $338.70	Professional		$127.50	$208.59	$338.70
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 $119.54 / $190.34 / $282.10	Professional		$119.54	$190.34	$282.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.99 / $192.76 / $3,026.00	Professional		$134.99	$192.76	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $221.11 / $364.41	Professional		$128.88	$221.11	$364.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.75 / $231.30 / $285.27	Professional		$192.75	$231.30	$285.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.61 / $229.69 / $360.60	Facility		$140.61	$229.69	$360.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $246.00 / $282.00 / $391.00	Professional		$246.00	$282.00	$391.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $123.85 / $166.04 / $1,683.00	Facility		$123.85	$166.04	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $188.87 / $259.64 / $1,683.00	Professional		$188.87	$259.64	$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 $163.69 / $253.50 / $432.09	Professional		$163.69	$253.50	$432.09