Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.29 / $255.93 / $905.10	Facility		$115.29	$255.93	$905.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.93 / $132.96 / $211.44	Professional		$98.93	$132.96	$211.44
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 $92.05 / $115.94 / $191.68	Professional		$92.05	$115.94	$191.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $88.96 / $822.00	Professional		$85.25	$88.96	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $167.40 / $167.40	Facility		$167.40	$167.40	$167.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $155.03 / $258.02	Professional		$106.20	$155.03	$258.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.52 / $158.11 / $184.69	Professional		$123.52	$158.11	$184.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.06 / $158.28 / $238.79	Facility		$115.06	$158.28	$238.79
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $257.04 / $340.69 / $480.44	Facility	50	$257.04	$340.69	$480.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $191.55 / $240.00	Professional		$167.00	$191.55	$240.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $96.43 / $137.37 / $608.41	Facility		$96.43	$137.37	$608.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $124.45 / $176.46 / $621.22	Professional		$124.45	$176.46	$621.22
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 $107.40 / $174.21 / $267.08	Professional		$107.40	$174.21	$267.08