Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.08 / $1,548.30 / $8,294.00	Facility		$64.08	$1,548.30	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $118.03 / $242.59	Professional		$43.37	$118.03	$242.59
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 $36.29 / $91.86 / $152.31	Professional		$36.29	$91.86	$152.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $54.44 / $137.79 / $228.46	Professional	50	$54.44	$137.79	$228.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $56.54 / $1,013.00	Professional		$46.91	$56.54	$1,013.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $116.19 / $199.73	Professional		$44.70	$116.19	$199.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.38 / $131.26 / $162.51	Professional		$109.38	$131.26	$162.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.75 / $122.10 / $217.71	Facility		$46.75	$122.10	$217.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $200.00 / $250.00	Professional		$149.00	$200.00	$250.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $87.64 / $1,169.82	Facility		$40.47	$87.64	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $114.33 / $179.56 / $1,169.82	Professional		$114.33	$179.56	$1,169.82
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 $99.16 / $173.13 / $245.94	Professional		$99.16	$173.13	$245.94