Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,479.11 / $3,388.44	Facility		$177.83	$1,479.11	$3,388.44
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $524.81 / $1,000.00 / $3,311.31	Facility	25	$524.81	$1,000.00	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $316.23	Professional		$85.11	$120.23	$316.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $97.72 / $223.87 / $478.63	Professional	25	$97.72	$223.87	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $295.12	Professional		$112.20	$165.96	$295.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $181.97	Professional		$120.23	$147.91	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $3,801.89	Facility		$1,778.28	$2,238.72	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $269.15	Professional		$102.33	$144.54	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $407.38	Professional		$112.20	$141.25	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $223.87	Professional		$120.23	$151.36	$223.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $154.88 / $263.03	Facility		$112.20	$154.88	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $134.90 / $234.42	Facility		$117.49	$134.90	$234.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $234.42	Professional		$117.49	$138.04	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $229.09	Professional		$87.10	$125.89	$229.09