Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.84 / $818.64 / $6,827.70	Facility		$83.84	$818.64	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $127.02 / $239.59	Professional		$73.12	$127.02	$239.59
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 $71.30 / $129.27 / $197.00	Professional		$71.30	$129.27	$197.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $69.48 / $974.00	Professional		$69.48	$69.48	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.01 / $128.01 / $128.01	Facility		$128.01	$128.01	$128.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $154.63 / $256.27	Professional		$75.37	$154.63	$256.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.71 / $165.02 / $196.45	Professional		$147.71	$165.02	$196.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.12 / $136.66 / $257.14	Facility		$73.12	$136.66	$257.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $195.00 / $304.00	Professional		$164.00	$195.00	$304.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $78.23 / $113.76 / $1,098.00	Facility		$78.23	$113.76	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $207.34 / $1,098.00	Professional		$143.13	$207.34	$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 $115.49 / $177.15 / $284.99	Professional		$115.49	$177.15	$284.99