Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.71 / $3,633.00 / $8,920.00	Facility		$118.71	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $118.71 / $172.33	Professional		$96.38	$118.71	$172.33
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 $89.55 / $112.79 / $169.20	Professional		$89.55	$112.79	$169.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.98 / $109.98 / $225.46	Professional		$109.98	$109.98	$225.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $110.57 / $610.00	Facility		$110.57	$110.57	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.54 / $138.25 / $232.02	Professional		$99.54	$138.25	$232.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $106.90 / $135.27	Professional		$86.54	$106.90	$135.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.90 / $140.30 / $196.78	Facility		$100.90	$140.30	$196.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $144.27 / $190.00	Professional		$133.00	$144.27	$190.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.34 / $141.18 / $243.85	Facility		$106.34	$141.18	$243.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $106.34 / $141.18 / $243.85	Professional		$106.34	$141.18	$243.85
United Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $814.00 / $2,350.00	Facility		$195.00	$814.00	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.94 / $124.04 / $200.25	Professional		$83.94	$124.04	$200.25