Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.99 / $2,561.00 / $8,294.00	Facility		$122.99	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $120.50 / $151.15	Professional		$103.72	$120.50	$151.15
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 $98.29 / $123.80 / $179.17	Professional		$98.29	$123.80	$179.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.97 / $117.52 / $239.74	Professional		$109.97	$117.52	$239.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.58 / $509.74 / $617.00	Facility		$120.58	$509.74	$617.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.72 / $144.87 / $239.89	Professional		$105.72	$144.87	$239.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $123.32 / $241.04	Professional		$99.41	$123.32	$241.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.11 / $150.58 / $220.40	Facility		$112.11	$150.58	$220.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $156.62 / $246.12	Professional		$138.00	$156.62	$246.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.24 / $143.69 / $247.81	Facility		$112.24	$143.69	$247.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.24 / $143.69 / $247.81	Professional		$112.24	$143.69	$247.81
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 $88.94 / $131.37 / $214.21	Professional		$88.94	$131.37	$214.21