Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.64 / $3,633.00 / $8,920.00	Facility		$106.64	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.02 / $164.52 / $223.12	Professional		$90.02	$164.52	$223.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $186.72 / $335.62	Professional		$94.02	$186.72	$335.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $111.99 / $582.41	Professional		$82.28	$111.99	$582.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.74 / $253.27 / $330.56	Facility		$160.74	$253.27	$330.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.43 / $210.69 / $360.81	Professional		$104.43	$210.69	$360.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.41 / $265.50 / $318.74	Professional		$220.41	$265.50	$318.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.64 / $213.28 / $361.25	Facility		$106.64	$213.28	$361.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $292.00 / $403.00	Professional		$255.00	$292.00	$403.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $102.19 / $140.16 / $218.25	Facility		$102.19	$140.16	$218.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $217.14 / $276.99 / $477.87	Professional		$217.14	$276.99	$477.87
United Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $263.83 / $428.07	Professional		$164.90	$263.83	$428.07