Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.50 / $3,226.00 / $8,920.00	Facility		$194.50	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.58 / $220.89 / $342.98	Professional		$147.58	$220.89	$342.98
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 $157.22 / $205.54 / $339.81	Professional		$157.22	$205.54	$339.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.86 / $151.86 / $794.00	Professional		$151.86	$151.86	$794.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.49 / $295.49 / $295.49	Facility		$295.49	$295.49	$295.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.57 / $268.94 / $523.84	Professional		$171.57	$268.94	$523.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $385.91 / $456.08	Professional		$298.20	$385.91	$456.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $191.02 / $288.33 / $453.60	Facility		$191.02	$288.33	$453.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $269.06 / $328.00 / $528.00	Professional		$269.06	$328.00	$528.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $153.62 / $217.61 / $805.00	Facility		$153.62	$217.61	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $221.58 / $363.56 / $819.00	Professional		$221.58	$363.56	$819.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.14 / $316.52 / $564.10	Professional		$185.14	$316.52	$564.10