Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.04 / $3,226.00 / $8,294.00	Facility		$169.04	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $169.04 / $324.10	Professional		$62.11	$169.04	$324.10
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 $55.85 / $70.34 / $126.37	Professional		$55.85	$70.34	$126.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.17 / $69.48 / $3,019.00	Professional		$63.17	$69.48	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $101.84 / $572.00	Facility		$101.84	$101.84	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.77 / $207.89 / $433.95	Professional		$71.77	$207.89	$433.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.07 / $191.62 / $226.46	Professional		$148.07	$191.62	$226.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.97 / $230.88 / $396.95	Facility		$104.97	$230.88	$396.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $228.54 / $357.00 / $467.00	Professional		$228.54	$357.00	$467.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $166.83 / $1,285.00	Facility		$74.09	$166.83	$1,285.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $179.63 / $298.00 / $1,291.00	Professional		$179.63	$298.00	$1,291.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.80 / $324.66 / $520.23	Professional		$202.80	$324.66	$520.23