Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.69 / $3,991.00 / $8,920.00	Facility		$61.69	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $61.69 / $70.80	Professional		$52.31	$61.69	$70.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $67.34 / $93.50	Professional		$53.31	$67.34	$93.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $642.00 / $794.00 / $922.00	Professional		$642.00	$794.00	$922.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $610.00 / $739.63	Facility		$62.14	$610.00	$739.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.30 / $70.77 / $143.77	Professional		$53.30	$70.77	$143.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $65.12 / $96.12	Professional		$52.09	$65.12	$96.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.81 / $70.78 / $104.88	Facility		$55.81	$70.78	$104.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $82.59 / $128.47	Professional		$68.00	$82.59	$128.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $55.07 / $68.95 / $128.32	Facility		$55.07	$68.95	$128.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $55.07 / $68.95 / $128.32	Professional		$55.07	$68.95	$128.32
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $64.95 / $106.20	Professional		$43.09	$64.95	$106.20