Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $3,235.94 / $8,317.64	Facility		$89.13	$3,235.94	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $144.54	Professional		$77.62	$89.13	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,623.41 / $7,762.47	Facility		$3,630.78	$5,623.41	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $141.25	Professional		$74.13	$100.00	$141.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $123.03	Professional		$77.62	$97.72	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $169.82	Professional		$79.43	$117.49	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $208.93	Professional		$69.18	$83.18	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $204.17	Professional		$141.25	$177.83	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $128.82 / $194.98	Facility		$81.28	$128.82	$194.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $117.49 / $5,248.07	Facility		$74.13	$117.49	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $5,248.07	Professional		$74.13	$117.49	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $169.82	Professional		$67.61	$117.49	$169.82