Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.39 / $2,561.00 / $8,294.00	Facility		$290.39	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.63 / $290.39 / $355.65	Professional		$237.63	$290.39	$355.65
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 $299.44 / $391.43 / $647.15	Professional		$299.44	$391.43	$647.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $273.47 / $306.29 / $2,012.00	Professional		$273.47	$306.29	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $420.00	Facility		$374.98	$374.98	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.24 / $359.80 / $712.34	Professional		$270.24	$359.80	$712.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.88 / $401.02 / $473.93	Professional		$309.88	$401.02	$473.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $277.19 / $369.59 / $833.46	Facility		$277.19	$369.59	$833.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $425.00 / $726.00	Professional		$325.00	$425.00	$726.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $265.01 / $352.33 / $1,171.00	Facility		$265.01	$352.33	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $285.22 / $402.66 / $1,171.00	Professional		$285.22	$402.66	$1,171.00
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 $212.81 / $391.31 / $750.57	Professional		$212.81	$391.31	$750.57