Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.93 / $3,633.00 / $8,920.00	Facility		$89.93	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $89.93 / $112.21	Professional		$77.91	$89.93	$112.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,540.46 / $5,063.82 / $7,052.88	Facility		$3,540.46	$5,063.82	$7,052.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.30 / $91.18 / $125.05	Professional		$71.30	$91.18	$125.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $106.50 / $185.43	Professional		$88.47	$106.50	$185.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $120.84 / $195.78	Professional		$78.66	$120.84	$195.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $88.86 / $109.59	Professional		$74.05	$88.86	$109.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.95 / $116.91 / $192.90	Facility		$88.95	$116.91	$192.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $127.84 / $182.28	Professional		$98.00	$127.84	$182.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.72 / $118.52 / $1,621.00	Facility		$87.72	$118.52	$1,621.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.72 / $120.27 / $1,621.00	Professional		$87.72	$120.27	$1,621.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $123.46 / $165.27	Professional		$67.31	$123.46	$165.27