Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.73 / $2,190.00 / $8,294.00	Facility		$461.73	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.87 / $354.19 / $484.21	Professional		$233.87	$354.19	$484.21
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 $221.42 / $286.50 / $473.67	Professional		$221.42	$286.50	$473.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $252.57 / $282.49 / $2,012.00	Professional		$252.57	$282.49	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.02 / $417.02 / $420.00	Facility		$417.02	$417.02	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.55 / $431.46 / $759.48	Professional		$247.55	$431.46	$759.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $410.96 / $527.19 / $623.04	Professional		$410.96	$527.19	$623.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $267.98 / $461.73 / $775.73	Facility		$267.98	$461.73	$775.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $518.00 / $591.00 / $811.00	Professional		$518.00	$591.00	$811.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $234.23 / $311.76 / $1,171.00	Facility		$234.23	$311.76	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $424.20 / $580.88 / $1,291.00	Professional		$424.20	$580.88	$1,291.00
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.93 / $541.28 / $834.20	Professional		$336.93	$541.28	$834.20