Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $562.34 / $1,148.15	Facility		$190.55	$562.34	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $295.12	Professional		$169.82	$204.17	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $1,023.29	Facility		$257.04	$257.04	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $177.83	Professional		$102.33	$102.33	$177.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $794.33 / $1,174.90	Professional		$208.93	$794.33	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $630.96 / $1,148.15	Facility		$257.04	$630.96	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $407.38	Professional		$125.89	$158.49	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $281.84 / $354.81	Professional		$257.04	$281.84	$354.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $288.40 / $436.52	Facility		$204.17	$288.40	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $537.03	Professional		$54.95	$54.95	$537.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $316.23 / $10,000.00	Facility		$218.78	$316.23	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $10,000.00	Professional		$223.87	$316.23	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $257.04 / $309.03	Facility		$120.23	$257.04	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $295.12	Professional		$102.33	$128.82	$295.12