Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.61 / $3,226.00 / $8,294.00	Facility		$179.61	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.25 / $179.61 / $204.01	Professional		$125.25	$179.61	$204.01
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 $146.55 / $202.58 / $297.85	Professional		$146.55	$202.58	$297.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $167.12 / $216.85 / $3,774.00	Professional		$167.12	$216.85	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.33 / $205.20 / $386.95	Professional		$148.33	$205.20	$386.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.17 / $231.80 / $285.89	Professional		$193.17	$231.80	$285.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $156.08 / $196.72 / $294.58	Facility		$156.08	$196.72	$294.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $207.00 / $350.00	Professional		$179.00	$207.00	$350.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $143.80 / $186.22 / $3,512.00	Facility		$143.80	$186.22	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $157.72 / $220.56 / $3,512.00	Professional		$157.72	$220.56	$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 $140.85 / $206.26 / $361.73	Professional		$140.85	$206.26	$361.73