Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.63 / $221.87 / $869.56	Facility		$122.63	$221.87	$869.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.08 / $122.63 / $124.65	Professional		$105.08	$122.63	$124.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,492.06 / $3,195.45 / $4,035.32	Facility		$2,492.06	$3,195.45	$4,035.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $59.33 / $59.33	Professional		$59.33	$59.33	$59.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.59 / $66.61 / $99.72	Professional		$43.59	$66.61	$99.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $232.99 / $599.72	Facility		$6.76	$232.99	$599.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $83.10 / $132.33	Professional		$44.34	$83.10	$132.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.66 / $143.19 / $146.52	Professional		$140.66	$143.19	$146.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.83 / $70.48 / $122.63	Facility		$60.83	$70.48	$122.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $91.52 / $129.79	Professional		$5.76	$91.52	$129.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $86.81 / $167.98 / $4,071.00	Facility		$86.81	$167.98	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $167.98 / $4,071.00	Professional		$87.09	$167.98	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,438.32 / $1,594.07 / $3,809.45	Facility		$1,438.32	$1,594.07	$3,809.45
United Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $72.25 / $95.25	Professional		$45.74	$72.25	$95.25