Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.93 / $4,796.00 / $23,601.00	Facility		$220.93	$4,796.00	$23,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.14 / $130.66 / $191.05	Professional		$118.14	$130.66	$191.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $212.94	Professional		$0.02	$0.02	$212.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $117.00 / $916.00	Professional		$111.15	$117.00	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $140.24 / $640.00	Facility		$140.24	$140.24	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.64 / $166.06 / $276.32	Professional		$117.64	$166.06	$276.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.26 / $151.38 / $178.77	Professional		$118.26	$151.38	$178.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $129.96 / $165.39 / $262.08	Facility		$129.96	$165.39	$262.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $170.66 / $216.42 / $289.54	Professional		$170.66	$216.42	$289.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $117.30 / $160.60 / $1,291.00	Facility		$117.30	$160.60	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.30 / $160.60 / $1,291.00	Professional		$117.30	$160.60	$1,291.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,061.00 / $8,168.84 / $17,187.00	Facility		$5,061.00	$8,168.84	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $142.57 / $243.64	Professional		$97.71	$142.57	$243.64