Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $3,630.78 / $9,549.93	Facility		$93.33	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $165.96	Professional		$74.13	$91.20	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $158.49	Professional		$79.43	$104.71	$158.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $794.33	Professional		$79.43	$91.20	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $616.60	Facility		$489.78	$524.81	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $169.82	Professional		$79.43	$107.15	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $138.04	Professional		$69.18	$83.18	$138.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $162.18	Professional		$125.89	$134.90	$162.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $107.15 / $162.18	Facility		$79.43	$107.15	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $102.33 / $398.11	Facility		$79.43	$102.33	$398.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $398.11	Professional		$79.43	$102.33	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,019.95 / $6,309.57	Facility		$407.38	$3,019.95	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $165.96	Professional		$69.18	$100.00	$165.96