Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.42 / $3,633.00 / $8,294.00	Facility		$57.42	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $57.42 / $87.83	Professional		$49.30	$57.42	$87.83
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 $45.48 / $58.16 / $87.25	Professional		$45.48	$58.16	$87.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $57.41 / $117.69	Professional		$51.67	$57.41	$117.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $57.01 / $610.00	Facility		$57.01	$57.01	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $68.23 / $116.42	Professional		$49.68	$68.23	$116.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $55.96 / $93.29	Professional		$43.99	$55.96	$93.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.78 / $70.83 / $108.75	Facility		$53.78	$70.83	$108.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $75.00 / $116.54	Professional		$68.00	$75.00	$116.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.56 / $71.39 / $122.38	Facility		$51.56	$71.39	$122.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $71.39 / $122.38	Professional		$51.56	$71.39	$122.38
United Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $761.99 / $2,350.00	Facility		$176.00	$761.99	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.19 / $58.54 / $95.03	Professional		$41.19	$58.54	$95.03