Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.51 / $3,226.00 / $8,294.00	Facility		$111.51	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.93 / $117.03 / $139.74	Professional		$101.93	$117.03	$139.74
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 $95.50 / $127.66 / $188.42	Professional		$95.50	$127.66	$188.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $162.66 / $974.00	Professional		$111.37	$162.66	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $155.52 / $269.33	Professional		$105.77	$155.52	$269.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $142.18 / $175.35	Professional		$118.48	$142.18	$175.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $111.51 / $150.94 / $225.60	Facility		$111.51	$150.94	$225.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $176.66 / $235.00	Professional		$152.00	$176.66	$235.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $101.77 / $135.10 / $805.00	Facility		$101.77	$135.10	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $131.33 / $168.23 / $805.00	Professional		$131.33	$168.23	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.55 / $181.25 / $273.20	Professional		$108.55	$181.25	$273.20