Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.12 / $3,633.00 / $8,920.00	Facility		$113.12	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $142.49 / $236.51	Professional		$88.04	$142.49	$236.51
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 $90.72 / $163.54 / $249.23	Professional		$90.72	$163.54	$249.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $98.99 / $105.38 / $974.00	Professional		$98.99	$105.38	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.97 / $161.97 / $161.97	Facility		$161.97	$161.97	$161.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $172.15 / $290.79	Professional		$97.10	$172.15	$290.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.32 / $210.37 / $250.44	Professional		$188.32	$210.37	$250.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $159.63 / $245.02	Facility		$91.11	$159.63	$245.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $234.00 / $341.00	Professional		$188.00	$234.00	$341.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $93.59 / $126.77 / $1,098.00	Facility		$93.59	$126.77	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $146.81 / $222.35 / $1,098.00	Professional		$146.81	$222.35	$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 $104.39 / $176.63 / $314.49	Professional		$104.39	$176.63	$314.49