Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $2,076.55 / $6,677.71	Facility		$197.94	$2,076.55	$6,677.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $217.59 / $298.52	Professional		$112.22	$217.59	$298.52
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 $104.32 / $136.63 / $227.19	Professional		$104.32	$136.63	$227.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $127.73 / $127.73 / $1,490.00	Professional		$127.73	$127.73	$1,490.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.57 / $198.57 / $198.57	Facility		$198.57	$198.57	$198.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.49 / $238.91 / $467.44	Professional		$131.49	$238.91	$467.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.69 / $283.12 / $349.18	Professional		$234.69	$283.12	$349.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $129.33 / $262.85 / $418.67	Facility		$129.33	$262.85	$418.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.66 / $320.00 / $582.00	Professional		$288.66	$320.00	$582.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $124.61 / $172.43 / $287.02	Facility		$124.61	$172.43	$287.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $260.87 / $345.24 / $604.45	Professional		$260.87	$345.24	$604.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.18 / $306.97 / $506.44	Professional		$193.18	$306.97	$506.44