Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.91 / $2,561.00 / $8,294.00	Facility		$178.91	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $116.55 / $141.97	Professional		$98.22	$116.55	$141.97
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 $94.15 / $121.83 / $173.50	Professional		$94.15	$121.83	$173.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $109.54 / $958.62	Professional		$109.54	$109.54	$958.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.31 / $610.00 / $1,572.88	Facility		$117.31	$610.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $135.12 / $262.60	Professional		$89.89	$135.12	$262.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $122.15 / $244.09	Professional		$97.72	$122.15	$244.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.07 / $133.01 / $213.29	Facility		$99.07	$133.01	$213.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $146.77 / $238.39	Professional		$125.00	$146.77	$238.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $93.27 / $132.41 / $239.80	Facility		$93.27	$132.41	$239.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $93.27 / $132.41 / $239.80	Professional		$93.27	$132.41	$239.80
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.22 / $111.17 / $192.94	Professional		$79.22	$111.17	$192.94