Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.25 / $628.24 / $1,184.98	Facility		$248.25	$628.24	$1,184.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.25 / $271.42 / $281.35	Professional		$248.25	$271.42	$281.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $331.00 / $1,626.87	Facility		$331.00	$331.00	$1,626.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.40 / $132.40 / $215.15	Professional		$132.40	$132.40	$215.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $236.50 / $292.61 / $486.02	Professional		$236.50	$292.61	$486.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.15 / $616.21 / $1,500.78	Facility		$215.15	$616.21	$1,500.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.94 / $200.96 / $546.46	Professional		$110.94	$200.96	$546.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $397.20 / $489.88	Professional		$331.00	$397.20	$489.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.88 / $296.99 / $514.87	Facility		$175.88	$296.99	$514.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $344.16 / $781.39	Professional		$228.00	$344.16	$781.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $215.15 / $370.72 / $9,929.00	Facility		$215.15	$370.72	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $215.15 / $370.72 / $9,929.00	Professional		$215.15	$370.72	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $145.63 / $263.99	Professional		$77.54	$145.63	$263.99