Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.96 / $3,912.00 / $8,294.00	Facility		$224.96	$3,912.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $224.96 / $400.96	Professional		$145.28	$224.96	$400.96
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 $136.76 / $174.89 / $239.86	Professional		$136.76	$174.89	$239.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.41 / $263.76 / $3,426.00	Professional		$173.41	$263.76	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.37 / $229.59 / $405.04	Professional		$152.37	$229.59	$405.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.46 / $256.14 / $315.92	Professional		$213.46	$256.14	$315.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.94 / $237.62 / $367.50	Facility		$165.94	$237.62	$367.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.00 / $276.00 / $425.00	Professional		$239.00	$276.00	$425.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $147.81 / $197.32 / $3,512.00	Facility		$147.81	$197.32	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $188.41 / $269.16 / $3,512.00	Professional		$188.41	$269.16	$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 $167.27 / $266.83 / $451.27	Professional		$167.27	$266.83	$451.27