Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $105.59 / $299.91	Facility		$75.09	$105.59	$299.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $96.69 / $164.05	Professional		$65.09	$96.69	$164.05
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 $62.69 / $80.17 / $132.54	Professional		$62.69	$80.17	$132.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $59.66 / $822.00	Professional		$59.66	$59.66	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.76 / $114.76 / $114.76	Facility		$114.76	$114.76	$114.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $103.04 / $182.66	Professional		$69.29	$103.04	$182.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $123.34 / $145.77	Professional		$95.31	$123.34	$145.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.31 / $105.59 / $169.39	Facility		$70.31	$105.59	$169.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $132.00 / $173.00	Professional		$118.00	$132.00	$173.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $84.94 / $437.81	Facility		$61.70	$84.94	$437.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.26 / $119.16 / $447.02	Professional		$87.26	$119.16	$447.02
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 $70.39 / $113.16 / $182.40	Professional		$70.39	$113.16	$182.40