Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.84 / $4,179.00 / $8,294.00	Facility		$239.84	$4,179.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.37 / $239.84 / $410.40	Professional		$180.37	$239.84	$410.40
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 $211.76 / $283.05 / $417.78	Professional		$211.76	$283.05	$417.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $240.29 / $324.13 / $4,284.00	Professional		$240.29	$324.13	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.97 / $298.94 / $563.32	Professional		$210.97	$298.94	$563.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.27 / $314.72 / $388.16	Professional		$262.27	$314.72	$388.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $227.12 / $287.00 / $429.79	Facility		$227.12	$287.00	$429.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $321.00 / $518.00	Professional		$280.00	$321.00	$518.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $202.44 / $270.08 / $3,512.00	Facility		$202.44	$270.08	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $228.47 / $319.81 / $3,512.00	Professional		$228.47	$319.81	$3,512.00
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 $206.63 / $304.76 / $527.75	Professional		$206.63	$304.76	$527.75