Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.01 / $1,346.00 / $6,729.96	Facility		$109.01	$1,346.00	$6,729.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $117.76 / $221.99	Professional		$72.43	$117.76	$221.99
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 $80.92 / $122.81 / $180.59	Professional		$80.92	$122.81	$180.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $92.19 / $2,413.00	Professional		$82.26	$92.19	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.02 / $141.02 / $141.02	Facility		$141.02	$141.02	$141.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $125.30 / $220.25	Professional		$82.81	$125.30	$220.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.96 / $151.22 / $180.04	Professional		$133.96	$151.22	$180.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $115.57 / $178.04	Facility		$77.20	$115.57	$178.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $167.00 / $247.00	Professional		$152.00	$167.00	$247.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $75.14 / $106.35 / $2,156.00	Facility		$75.14	$106.35	$2,156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $114.13 / $158.00 / $2,156.00	Professional		$114.13	$158.00	$2,156.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $130.16 / $223.01	Professional		$95.19	$130.16	$223.01