Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.97 / $3,226.00 / $8,294.00	Facility		$100.97	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $123.28 / $197.56	Professional		$79.06	$123.28	$197.56
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 $82.82 / $130.61 / $198.33	Professional		$82.82	$130.61	$198.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.52 / $97.98 / $974.00	Professional		$89.52	$97.98	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.53 / $147.53 / $147.53	Facility		$147.53	$147.53	$147.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $136.59 / $237.65	Professional		$88.74	$136.59	$237.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $165.95 / $197.56	Professional		$148.16	$165.95	$197.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.91 / $126.44 / $190.59	Facility		$82.91	$126.44	$190.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $197.00 / $264.00	Professional		$166.00	$197.00	$264.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.16 / $116.00 / $1,098.00	Facility		$83.16	$116.00	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $170.78 / $1,098.00	Professional		$122.83	$170.78	$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 $105.82 / $142.19 / $246.12	Professional		$105.82	$142.19	$246.12