Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.39 / $2,190.00 / $8,294.00	Facility		$482.39	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.55 / $339.34 / $495.23	Professional		$219.55	$339.34	$495.23
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 $214.96 / $281.00 / $464.57	Professional		$214.96	$281.00	$464.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $236.14 / $236.14 / $2,635.00	Professional		$236.14	$236.14	$2,635.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.87 / $407.87 / $420.00	Facility		$407.87	$407.87	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.66 / $437.49 / $777.26	Professional		$234.66	$437.49	$777.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.44 / $591.99 / $699.62	Professional		$457.44	$591.99	$699.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $439.29 / $763.70	Facility		$238.00	$439.29	$763.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $485.00 / $585.00 / $823.00	Professional		$485.00	$585.00	$823.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $226.46 / $293.12 / $1,171.00	Facility		$226.46	$293.12	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $410.77 / $589.16 / $1,291.00	Professional		$410.77	$589.16	$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 $337.57 / $573.57 / $873.44	Professional		$337.57	$573.57	$873.44