Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $602.56 / $1,071.52	Facility		$213.80	$602.56	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $223.87 / $323.59	Professional		$107.15	$223.87	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $1,148.15	Facility		$281.84	$281.84	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $190.55	Professional		$114.82	$114.82	$190.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $707.95	Professional		$302.00	$478.63	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $363.08 / $1,288.25	Facility		$186.21	$363.08	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $128.82 / $331.13	Professional		$57.54	$128.82	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $426.58	Professional		$281.84	$338.84	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $169.82 / $199.53	Professional		$83.18	$169.82	$199.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $208.93 / $239.88	Facility		$85.11	$208.93	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $602.56	Professional		$85.11	$162.18	$602.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $338.84 / $10,000.00	Facility		$151.36	$338.84	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $338.84 / $10,000.00	Professional		$158.49	$338.84	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $281.84 / $338.84	Facility		$85.11	$281.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $120.23 / $169.82	Professional		$58.88	$120.23	$169.82