Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $2,041.74 / $8,317.64	Facility		$112.20	$2,041.74	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $288.40	Professional		$95.50	$151.36	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $245.47	Professional		$100.00	$141.25	$245.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $2,511.89	Professional		$97.72	$151.36	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $295.12	Professional		$102.33	$165.96	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $234.42	Professional		$158.49	$190.55	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $165.96 / $275.42	Facility		$100.00	$165.96	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $134.90 / $2,691.53	Facility		$97.72	$134.90	$2,691.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $2,691.53	Professional		$158.49	$218.78	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $3,981.07	Facility		$1,071.52	$2,089.30	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $288.40	Professional		$87.10	$154.88	$288.40