Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.35 / $2,840.00 / $8,294.00	Facility		$111.35	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $117.85 / $223.36	Professional		$78.23	$117.85	$223.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.39 / $124.46 / $177.85	Professional		$91.39	$124.46	$177.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $101.78 / $916.00	Professional		$101.78	$101.78	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.77 / $164.77 / $164.77	Facility		$164.77	$164.77	$164.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $122.05 / $229.57	Professional		$87.08	$122.05	$229.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.24 / $138.41 / $164.79	Professional		$125.24	$138.41	$164.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $121.48 / $175.55	Facility		$94.50	$121.48	$175.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $156.00 / $242.00	Professional		$148.00	$156.00	$242.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.44 / $120.07 / $1,098.00	Facility		$79.44	$120.07	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $97.92 / $147.69 / $1,098.00	Professional		$97.92	$147.69	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $819.00 / $2,364.00	Facility		$206.00	$819.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.46 / $117.08 / $220.52	Professional		$83.46	$117.08	$220.52