Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.80 / $3,633.00 / $8,294.00	Facility		$166.80	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.36 / $242.03 / $358.35	Professional		$147.36	$242.03	$358.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.59 / $212.27 / $317.97	Professional		$143.59	$212.27	$317.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $157.16 / $226.32 / $3,774.00	Professional		$157.16	$226.32	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.56 / $248.73 / $416.50	Professional		$161.56	$248.73	$416.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.35 / $252.42 / $311.32	Professional		$210.35	$252.42	$311.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.57 / $262.05 / $404.50	Facility		$163.57	$262.05	$404.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $328.91 / $425.00	Professional		$273.00	$328.91	$425.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $150.04 / $197.95 / $3,512.00	Facility		$150.04	$197.95	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $224.86 / $305.44 / $3,512.00	Professional		$224.86	$305.44	$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 $196.52 / $331.10 / $479.16	Professional		$196.52	$331.10	$479.16