Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $645.65 / $1,318.26	Facility		$223.87	$645.65	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $316.23	Professional		$169.82	$199.53	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $1,047.13	Facility		$263.03	$263.03	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $186.21	Professional		$104.71	$104.71	$186.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $954.99 / $1,479.11	Professional		$223.87	$954.99	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $645.65 / $1,230.27	Facility		$269.15	$645.65	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $436.52	Professional		$128.82	$169.82	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $371.54	Professional		$263.03	$288.40	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $346.74 / $489.78	Facility		$208.93	$346.74	$489.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $549.54	Professional		$169.82	$169.82	$549.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $309.03 / $10,000.00	Facility		$208.93	$309.03	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $10,000.00	Professional		$208.93	$309.03	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $263.03 / $316.23	Facility		$173.78	$263.03	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $331.13	Professional		$109.65	$138.04	$331.13