Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $325.42 / $8,920.00	Facility		$85.50	$325.42	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $95.00 / $147.78	Professional		$75.76	$95.00	$147.78
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 $72.14 / $96.21 / $139.29	Professional		$72.14	$96.21	$139.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.33 / $125.50 / $974.00	Professional		$86.33	$125.50	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $109.53 / $198.57	Professional		$77.25	$109.53	$198.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.67 / $105.20 / $129.75	Professional		$87.67	$105.20	$129.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.27 / $112.39 / $163.89	Facility		$85.27	$112.39	$163.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $129.00 / $174.00	Professional		$113.00	$129.00	$174.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $73.34 / $97.91 / $805.00	Facility		$73.34	$97.91	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $119.04 / $805.00	Professional		$88.34	$119.04	$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 $76.89 / $120.01 / $194.13	Professional		$76.89	$120.01	$194.13