Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $1,346.00 / $6,827.70	Facility		$87.57	$1,346.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $167.93 / $295.16	Professional		$78.17	$167.93	$295.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $150.63 / $260.57	Professional		$68.81	$150.63	$260.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.16 / $80.45 / $897.00	Professional		$80.16	$80.45	$897.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.71 / $119.71 / $485.00	Facility		$119.71	$119.71	$485.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $164.47 / $349.08	Professional		$77.42	$164.47	$349.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.46 / $198.83 / $237.48	Professional		$160.46	$198.83	$237.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.10 / $206.78 / $357.33	Facility		$83.10	$206.78	$357.33
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $31.90 / $58.19 / $90.93	Facility	80	$31.90	$58.19	$90.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $185.66 / $259.00 / $447.10	Professional		$185.66	$259.00	$447.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $76.30 / $101.99 / $249.39	Facility		$76.30	$101.99	$249.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $207.51 / $277.35 / $482.92	Professional		$207.51	$277.35	$482.92
United Facility/Professional Facility Modifier Low / Median / High Price $219.56 / $833.00 / $2,350.00	Facility		$219.56	$833.00	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.40 / $254.59 / $408.93	Professional		$161.40	$254.59	$408.93