Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.24 / $2,190.00 / $8,294.00	Facility		$56.24	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $56.24 / $68.23	Professional		$55.33	$56.24	$68.23
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 $43.94 / $56.20 / $77.06	Professional		$43.94	$56.20	$77.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.51 / $80.44 / $1,013.00	Professional		$54.51	$80.44	$1,013.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $70.02 / $137.04	Professional		$51.47	$70.02	$137.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.34 / $60.41 / $74.50	Professional		$50.34	$60.41	$74.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.33 / $71.67 / $102.92	Facility		$55.33	$71.67	$102.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $73.00 / $112.46	Professional		$65.00	$73.00	$112.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.46 / $72.42 / $805.00	Facility		$53.46	$72.42	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.51 / $75.65 / $805.00	Professional		$53.51	$75.65	$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 $45.49 / $76.43 / $118.51	Professional		$45.49	$76.43	$118.51