Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $3,226.00 / $8,294.00	Facility		$32.22	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $48.86 / $96.00	Professional		$25.64	$48.86	$96.00
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 $26.02 / $49.98 / $81.54	Professional		$26.02	$49.98	$81.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $2,315.00	Professional		$31.09	$31.09	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.24 / $46.24 / $46.24	Facility		$46.24	$46.24	$46.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $53.72 / $86.64	Professional		$27.11	$53.72	$86.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.68 / $68.47 / $81.51	Professional		$61.68	$68.47	$81.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $50.85 / $77.78	Facility		$26.26	$50.85	$77.78
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $38.75 / $78.00 / $95.88	Facility	50	$38.75	$78.00	$95.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $75.00 / $107.00	Professional		$64.42	$75.00	$107.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.06 / $39.08 / $1,098.00	Facility		$28.06	$39.08	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $70.09 / $1,098.00	Professional		$50.47	$70.09	$1,098.00
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 $41.35 / $57.59 / $100.21	Professional		$41.35	$57.59	$100.21