Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.27 / $2,561.00 / $8,294.00	Facility		$88.27	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $88.27 / $112.10	Professional		$72.59	$88.27	$112.10
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 $70.98 / $90.78 / $124.50	Professional		$70.98	$90.78	$124.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $123.06 / $3,026.00	Professional		$85.94	$123.06	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $110.69 / $196.92	Professional		$79.18	$110.69	$196.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $89.44 / $110.30	Professional		$74.53	$89.44	$110.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.98 / $108.34 / $161.53	Facility		$83.98	$108.34	$161.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.00 / $180.94	Professional		$100.00	$114.00	$180.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $82.79 / $108.73 / $1,683.00	Facility		$82.79	$108.73	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $82.79 / $108.73 / $1,683.00	Professional		$82.79	$108.73	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.61 / $118.97 / $170.77	Professional		$68.61	$118.97	$170.77