Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.46 / $646.36 / $8,920.00	Facility		$124.46	$646.36	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.73 / $157.68 / $259.39	Professional		$113.73	$157.68	$259.39
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 $111.31 / $148.79 / $219.60	Professional		$111.31	$148.79	$219.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.62 / $195.68 / $974.00	Professional		$134.62	$195.68	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $168.00 / $298.92	Professional		$118.92	$168.00	$298.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $168.38 / $207.67	Professional		$140.32	$168.38	$207.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.89 / $173.45 / $250.71	Facility		$126.89	$173.45	$250.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.38 / $203.00 / $284.00	Professional		$165.38	$203.00	$284.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $108.58 / $142.69 / $805.00	Facility		$108.58	$142.69	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $138.18 / $183.87 / $805.00	Professional		$138.18	$183.87	$805.00
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 $114.19 / $178.14 / $301.18	Professional		$114.19	$178.14	$301.18