Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.11 / $5,048.00 / $10,767.00	Facility		$110.11	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.29 / $108.06 / $112.37	Professional		$53.29	$108.06	$112.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $39.47 / $82.36	Professional		$30.86	$39.47	$82.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $68.50 / $910.00	Professional		$68.50	$68.50	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.68 / $118.68 / $640.00	Facility		$118.68	$118.68	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.79 / $495.79 / $495.79	Professional		$495.79	$495.79	$495.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.69 / $127.63 / $147.54	Professional		$99.69	$127.63	$147.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.98 / $120.02 / $182.62	Facility		$91.98	$120.02	$182.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $172.36 / $245.45	Professional		$135.91	$172.36	$245.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $68.73 / $130.93 / $982.00	Facility		$68.73	$130.93	$982.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $132.90 / $982.00	Professional		$98.50	$132.90	$982.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.88 / $120.97 / $198.33	Professional		$73.88	$120.97	$198.33