Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.88 / $3,226.00 / $8,920.00	Facility		$93.88	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $171.66 / $233.95	Professional		$80.92	$171.66	$233.95
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 $80.83 / $160.12 / $273.45	Professional		$80.83	$160.12	$273.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $91.63 / $183.26	Professional		$89.57	$91.63	$183.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.66 / $171.67 / $610.00	Facility		$131.66	$171.67	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.61 / $195.78 / $356.25	Professional		$90.61	$195.78	$356.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.83 / $226.44 / $463.67	Professional		$182.83	$226.44	$463.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.80 / $189.82 / $331.99	Facility		$93.80	$189.82	$331.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $227.02 / $265.00 / $461.00	Professional		$227.02	$265.00	$461.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $106.21 / $198.76	Facility		$84.57	$106.21	$198.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $194.02 / $243.61 / $458.02	Professional		$194.02	$243.61	$458.02
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 $157.69 / $237.86 / $368.25	Professional		$157.69	$237.86	$368.25