Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.69 / $660.89 / $5,575.00	Facility		$158.69	$660.89	$5,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.17 / $146.03 / $272.85	Professional		$91.17	$146.03	$272.85
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 $101.23 / $146.15 / $214.19	Professional		$101.23	$146.15	$214.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $98.07 / $98.07 / $974.00	Professional		$98.07	$98.07	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.29 / $176.29 / $176.29	Facility		$176.29	$176.29	$176.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.03 / $154.21 / $276.95	Professional		$105.03	$154.21	$276.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.86 / $178.49 / $212.49	Professional		$158.86	$178.49	$212.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $141.49 / $212.17	Facility		$94.74	$141.49	$212.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $200.00 / $285.00	Professional		$183.00	$200.00	$285.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.92 / $126.89 / $1,082.00	Facility		$95.92	$126.89	$1,082.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $186.53 / $1,082.00	Professional		$133.75	$186.53	$1,082.00
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 $103.42 / $151.05 / $257.20	Professional		$103.42	$151.05	$257.20