Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.32 / $3,226.00 / $8,294.00	Facility		$44.32	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $56.00 / $81.68	Professional		$41.03	$56.00	$81.68
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 $38.28 / $66.73 / $101.00	Professional		$38.28	$66.73	$101.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $65.92 / $974.00	Professional		$44.56	$65.92	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $74.08 / $129.10	Professional		$44.19	$74.08	$129.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $83.69 / $103.22	Professional		$69.73	$83.69	$103.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.32 / $74.90 / $116.80	Facility		$44.32	$74.90	$116.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $88.00 / $138.00	Professional		$77.00	$88.00	$138.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $52.71 / $1,171.00	Facility		$40.11	$52.71	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $86.70 / $1,171.00	Professional		$68.88	$86.70	$1,171.00
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 $59.25 / $87.29 / $148.53	Professional		$59.25	$87.29	$148.53