Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $3,633.00 / $8,920.00	Facility		$54.11	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $65.67 / $86.16	Professional		$40.02	$65.67	$86.16
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 $47.42 / $77.38 / $114.69	Professional		$47.42	$77.38	$114.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $79.40 / $916.00	Professional		$55.52	$79.40	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $85.71 / $145.04	Professional		$52.36	$85.71	$145.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $93.95 / $115.87	Professional		$78.29	$93.95	$115.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $86.16 / $137.24	Facility		$54.11	$86.16	$137.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $111.60 / $156.88	Professional		$95.00	$111.60	$156.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $49.96 / $66.06 / $805.00	Facility		$49.96	$66.06	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.11 / $102.82 / $805.00	Professional		$77.11	$102.82	$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 $64.56 / $108.71 / $170.30	Professional		$64.56	$108.71	$170.30