Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.49 / $3,226.00 / $8,294.00	Facility		$160.49	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $178.12 / $257.99	Professional		$125.51	$178.12	$257.99
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 $129.47 / $196.35 / $289.32	Professional		$129.47	$196.35	$289.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $152.32 / $974.00	Professional		$140.97	$152.32	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.81 / $230.81 / $230.81	Facility		$230.81	$230.81	$230.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $201.82 / $374.05	Professional		$138.94	$201.82	$374.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $240.44 / $286.24	Professional		$216.00	$240.44	$286.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.80 / $194.23 / $290.60	Facility		$130.80	$194.23	$290.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.00 / $288.00 / $385.00	Professional		$239.00	$288.00	$385.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $130.91 / $185.40 / $1,098.00	Facility		$130.91	$185.40	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $180.73 / $251.92 / $1,098.00	Professional		$180.73	$251.92	$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 $151.71 / $210.04 / $362.20	Professional		$151.71	$210.04	$362.20