Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.70 / $3,484.00 / $8,294.00	Facility		$173.70	$3,484.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $147.02 / $197.48	Professional		$104.60	$147.02	$197.48
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 $107.70 / $159.22 / $242.00	Professional		$107.70	$159.22	$242.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $119.16 / $237.32	Professional		$107.24	$119.16	$237.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.70 / $183.04 / $610.00	Facility		$125.70	$183.04	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.01 / $174.18 / $318.00	Professional		$112.01	$174.18	$318.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $187.91 / $278.42	Professional		$146.16	$187.91	$278.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.25 / $180.00 / $283.99	Facility		$116.25	$180.00	$283.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.15 / $224.00 / $301.24	Professional		$192.15	$224.00	$301.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.58 / $132.85 / $247.29	Facility		$106.58	$132.85	$247.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $196.80 / $372.75	Professional		$156.63	$196.80	$372.75
United Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $503.00 / $2,117.00	Facility		$85.00	$503.00	$2,117.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.77 / $191.87 / $303.16	Professional		$123.77	$191.87	$303.16