Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $3,226.00 / $8,294.00	Facility		$64.81	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $80.91 / $108.45	Professional		$53.10	$80.91	$108.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $86.56 / $132.53	Professional		$52.52	$86.56	$132.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $57.26 / $916.00	Professional		$57.26	$57.26	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $94.94 / $94.94	Facility		$94.94	$94.94	$94.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $91.00 / $157.06	Professional		$54.53	$91.00	$157.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $109.41 / $130.25	Professional		$97.66	$109.41	$130.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $85.17 / $121.77	Facility		$55.10	$85.17	$121.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $112.00 / $175.00	Professional		$98.00	$112.00	$175.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $77.09 / $1,098.00	Facility		$57.00	$77.09	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.74 / $116.83 / $1,098.00	Professional		$87.74	$116.83	$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 $74.12 / $99.66 / $166.79	Professional		$74.12	$99.66	$166.79