Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $245.47 / $354.81	Facility		$30.20	$245.47	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $371.54	Professional		$30.20	$47.86	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $302.00	Professional		$269.15	$269.15	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.27 / $5.37	Professional		$3.16	$4.27	$5.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $269.15	Professional		$134.90	$204.17	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $338.84	Professional		$204.17	$281.84	$338.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $2,398.83 / $4,786.30	Facility		$39.81	$2,398.83	$4,786.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $64.57 / $100.00	Facility		$23.44	$64.57	$100.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $64.57 / $100.00	Professional		$23.44	$64.57	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $83.18	Professional		$44.67	$60.26	$83.18