Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.09 / $1,915.00 / $2,994.00	Facility		$453.09	$1,915.00	$2,994.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $425.00 / $525.00	Professional		$96.73	$425.00	$525.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.06 / $269.52 / $277.61	Professional		$90.06	$269.52	$277.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $681.70 / $941.70 / $1,043.16	Professional		$681.70	$941.70	$1,043.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.36 / $542.01 / $1,349.21	Facility		$340.36	$542.01	$1,349.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $141.94 / $277.87	Professional		$70.97	$141.94	$277.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $109.52 / $134.21	Professional		$91.26	$109.52	$134.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.18 / $265.23 / $799.58	Facility		$110.18	$265.23	$799.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $143.00 / $207.36	Professional		$30.00	$143.00	$207.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.34 / $98.27 / $220.33	Facility		$23.34	$98.27	$220.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $129.77 / $438.75	Professional		$35.20	$129.77	$438.75
United Facility/Professional Professional Modifier Low / Median / High Price $185.87 / $185.87 / $185.87	Professional		$185.87	$185.87	$185.87