Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $848.14 / $8,920.00	Facility		$72.59	$848.14	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $117.64 / $192.61	Professional		$65.34	$117.64	$192.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.80 / $114.85 / $191.14	Professional		$63.80	$114.85	$191.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $64.72 / $676.00	Professional		$64.72	$64.72	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $109.76	Facility		$109.76	$109.76	$109.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.42 / $119.31 / $220.96	Professional		$67.42	$119.31	$220.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.21 / $145.49 / $179.44	Professional		$121.21	$145.49	$179.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $125.75 / $231.24	Facility		$72.18	$125.75	$231.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $152.00 / $222.00	Professional		$132.00	$152.00	$222.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $65.19 / $90.29 / $180.54	Facility		$65.19	$90.29	$180.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $169.88 / $511.67	Professional		$119.80	$169.88	$511.67
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 $106.95 / $160.27 / $269.45	Professional		$106.95	$160.27	$269.45