Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $588.84 / $1,096.48	Facility		$213.80	$588.84	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $323.59	Professional		$186.21	$223.87	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $1,122.02	Facility		$281.84	$281.84	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $199.53	Professional		$112.20	$112.20	$199.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $4,677.35 / $6,918.31	Professional		$288.40	$4,677.35	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $707.95 / $1,445.44	Facility		$288.40	$707.95	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $426.58	Professional		$131.83	$169.82	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $398.11	Professional		$281.84	$309.03	$398.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $309.03 / $478.63	Facility		$223.87	$309.03	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $588.84	Professional		$181.97	$181.97	$588.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $363.08 / $10,000.00	Facility		$234.42	$363.08	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $10,000.00	Professional		$234.42	$363.08	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $281.84 / $338.84	Facility		$169.82	$281.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $323.59	Professional		$117.49	$141.25	$323.59