Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $724.44 / $1,445.44	Facility		$245.47	$724.44	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $380.19	Professional		$218.78	$263.03	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $1,318.26	Facility		$331.13	$331.13	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $234.42	Professional		$131.83	$131.83	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,000.00 / $1,479.11	Professional		$269.15	$1,000.00	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $812.83 / $1,479.11	Facility		$338.84	$812.83	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $501.19	Professional		$154.88	$199.53	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $457.09	Professional		$331.13	$363.08	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $380.19 / $562.34	Facility		$263.03	$380.19	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $691.83	Professional		$213.80	$213.80	$691.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $389.05 / $10,000.00	Facility		$275.42	$389.05	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $10,000.00	Professional		$275.42	$389.05	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $331.13 / $398.11	Facility		$199.53	$331.13	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $380.19	Professional		$138.04	$165.96	$380.19