Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $3,226.00 / $8,294.00	Facility		$56.85	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $95.12 / $145.47	Professional		$50.17	$95.12	$145.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $103.58 / $198.98	Professional		$50.77	$103.58	$198.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.04 / $51.04 / $676.00	Professional		$51.04	$51.04	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $85.08 / $85.08	Facility		$85.08	$85.08	$85.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $109.95 / $255.30	Professional		$52.48	$109.95	$255.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $143.63 / $176.03	Professional		$119.70	$143.63	$176.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $121.35 / $287.23	Facility		$56.85	$121.35	$287.23
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $108.02 / $341.57 / $931.50	Facility	50	$108.02	$341.57	$931.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $176.45 / $287.00	Professional		$132.00	$176.45	$287.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $69.39 / $242.21	Facility		$49.85	$69.39	$242.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $122.81 / $196.19 / $558.03	Professional		$122.81	$196.19	$558.03
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $177.79 / $317.05	Professional		$113.45	$177.79	$317.05