Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.93 / $3,633.00 / $8,294.00	Facility		$40.93	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $40.94 / $77.36	Professional		$34.36	$40.94	$77.36
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 $31.96 / $40.86 / $56.05	Professional		$31.96	$40.86	$56.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.89 / $974.00	Professional		$38.02	$48.89	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $48.20 / $86.88	Professional		$34.22	$48.20	$86.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $39.08 / $70.56	Professional		$32.57	$39.08	$70.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.59 / $48.59 / $73.95	Facility		$39.59	$48.59	$73.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $50.00 / $81.05	Professional		$44.00	$50.00	$81.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $47.11 / $805.00	Facility		$36.04	$47.11	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $48.37 / $805.00	Professional		$36.61	$48.37	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $50.71 / $76.81	Professional		$28.84	$50.71	$76.81