Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.94 / $1,938.00 / $8,294.00	Facility		$53.94	$1,938.00	$8,294.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.07 / $10.07 / $24.23	Facility	53	$10.07	$10.07	$24.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $53.94 / $97.90	Professional		$45.13	$53.94	$97.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,266.00 / $8,669.00 / $11,373.00	Facility		$6,266.00	$8,669.00	$11,373.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $50.27 / $70.06	Professional		$39.47	$50.27	$70.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $76.17 / $916.00	Professional		$49.37	$76.17	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $64.83 / $98.68	Professional		$43.50	$64.83	$98.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $49.26 / $60.75	Professional		$41.05	$49.26	$60.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.34 / $61.62 / $93.76	Facility		$50.34	$61.62	$93.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $69.00 / $101.98	Professional		$62.00	$69.00	$101.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $65.43 / $1,169.82	Facility		$46.35	$65.43	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $65.43 / $1,169.82	Professional		$46.35	$65.43	$1,169.82
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,375.00	Facility		$296.00	$1,045.00	$2,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $64.93 / $93.72	Professional		$37.79	$64.93	$93.72