Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.29 / $2,516.00 / $8,294.00	Facility		$120.29	$2,516.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $133.68 / $209.90	Professional		$68.38	$133.68	$209.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $133.85 / $203.80	Professional		$67.98	$133.85	$203.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $121.05 / $2,413.00	Professional		$86.39	$121.05	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $149.91 / $281.80	Professional		$75.75	$149.91	$281.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $165.60 / $204.24	Professional		$138.00	$165.60	$204.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.12 / $153.44 / $267.92	Facility		$79.12	$153.44	$267.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $202.00 / $300.00	Professional		$170.00	$202.00	$300.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $68.61 / $92.33 / $1,683.00	Facility		$68.61	$92.33	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $141.32 / $194.12 / $1,683.00	Professional		$141.32	$194.12	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.09 / $185.07 / $314.74	Professional		$119.09	$185.07	$314.74