Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.53 / $4,771.00 / $9,539.00	Facility		$43.53	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $41.36 / $47.18	Professional		$37.40	$41.36	$47.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $45.20 / $74.72	Professional		$35.34	$45.20	$74.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $38.43 / $676.00	Professional		$38.43	$38.43	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $43.55 / $43.55	Facility		$43.55	$43.55	$43.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $52.06 / $107.06	Professional		$38.72	$52.06	$107.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $43.56 / $51.73	Professional		$35.27	$43.56	$51.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.59 / $56.77 / $444.70	Facility		$39.59	$56.77	$444.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $56.52 / $94.00	Professional		$48.00	$56.52	$94.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.81 / $54.57 / $108.53	Facility		$38.81	$54.57	$108.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $59.36 / $503.94	Professional		$39.97	$59.36	$503.94
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 $34.17 / $53.13 / $343.81	Professional		$34.17	$53.13	$343.81