Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.63 / $1,630.00 / $5,412.00	Facility		$138.63	$1,630.00	$5,412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $160.69 / $244.97	Professional		$81.56	$160.69	$244.97
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 $80.84 / $156.69 / $248.13	Professional		$80.84	$156.69	$248.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.89 / $89.33 / $182.23	Professional		$87.89	$89.33	$182.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.38 / $610.00 / $796.90	Facility		$140.38	$610.00	$796.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $172.61 / $317.17	Professional		$90.86	$172.61	$317.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.22 / $205.78 / $333.00	Professional		$163.22	$205.78	$333.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.65 / $182.02 / $314.02	Facility		$96.65	$182.02	$314.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $189.62 / $232.00 / $323.00	Professional		$189.62	$232.00	$323.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.24 / $115.59 / $202.32	Facility		$87.24	$115.59	$202.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $174.55 / $226.38 / $404.22	Professional		$174.55	$226.38	$404.22
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 $139.18 / $215.90 / $331.09	Professional		$139.18	$215.90	$331.09