Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.96 / $519.48 / $5,743.00	Facility		$81.96	$519.48	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.05 / $94.02 / $159.05	Professional		$46.05	$94.02	$159.05
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 $43.09 / $83.82 / $136.21	Professional		$43.09	$83.82	$136.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $49.04 / $95.63	Professional		$47.19	$49.04	$95.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $610.00	Facility		$75.00	$75.00	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $112.09 / $188.58	Professional		$54.00	$112.09	$188.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $104.01 / $188.12	Professional		$79.25	$104.01	$188.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $102.56 / $183.52	Facility		$49.85	$102.56	$183.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $140.00 / $205.81	Professional		$109.00	$140.00	$205.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $91.09 / $142.13	Facility		$47.76	$91.09	$142.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $96.10 / $136.88 / $207.72	Professional		$96.10	$136.88	$207.72
United Facility/Professional Facility Modifier Low / Median / High Price $109.00 / $696.00 / $2,350.00	Facility		$109.00	$696.00	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $119.07 / $191.58	Professional		$68.70	$119.07	$191.58