Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.07 / $3,633.00 / $8,294.00	Facility		$191.07	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.76 / $191.07 / $812.00	Professional		$50.76	$191.07	$812.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $108.59 / $148.94	Professional		$87.44	$108.59	$148.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $690.00 / $1,757.00 / $2,413.00	Professional		$690.00	$1,757.00	$2,413.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.02 / $362.53 / $368.98	Professional		$348.02	$362.53	$368.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.37 / $55.37 / $77.31	Facility		$55.37	$55.37	$77.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.79 / $421.39 / $9,929.00	Facility		$52.79	$421.39	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $421.39 / $9,929.00	Professional		$52.79	$421.39	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $64.34 / $87.36	Professional		$35.22	$64.34	$87.36