Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.64 / $3,832.00 / $8,920.00	Facility		$176.64	$3,832.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.77 / $871.47 / $1,215.45	Professional		$150.77	$871.47	$1,215.45
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 $147.51 / $484.52 / $1,274.73	Professional		$147.51	$484.52	$1,274.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $221.26 / $726.78 / $1,912.10	Professional	50	$221.26	$726.78	$1,912.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.74 / $240.77 / $3,026.00	Professional		$165.74	$240.77	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.90 / $744.08 / $1,857.55	Professional		$166.90	$744.08	$1,857.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.60 / $1,025.14 / $1,263.91	Professional		$717.60	$1,025.14	$1,263.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $167.17 / $872.95 / $1,738.09	Facility		$167.17	$872.95	$1,738.09
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $397.27 / $2,053.42 / $2,962.25	Facility	50	$397.27	$2,053.42	$2,962.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $348.31 / $1,288.00 / $1,741.00	Professional		$348.31	$1,288.00	$1,741.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $151.82 / $204.05 / $2,039.00	Facility		$151.82	$204.05	$2,039.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,045.69 / $1,350.14 / $2,559.14	Professional		$1,045.69	$1,350.14	$2,559.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,533.00 / $5,340.00	Facility		$1,911.00	$3,533.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $853.28 / $1,463.90 / $2,173.54	Professional		$853.28	$1,463.90	$2,173.54