Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $3,235.94 / $8,317.64	Facility		$85.11	$3,235.94	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $169.82	Professional		$64.57	$89.13	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,218.10 / $21,877.62	Facility		$8,709.64	$16,218.10	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $134.90	Professional		$72.44	$95.50	$134.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $120.23	Professional		$75.86	$95.50	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $154.88	Professional		$66.07	$97.72	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $194.98	Professional		$63.10	$77.62	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $177.83	Professional		$109.65	$144.54	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $104.71 / $158.49	Facility		$66.07	$104.71	$158.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $104.71 / $5,248.07	Facility		$70.79	$104.71	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $5,248.07	Professional		$70.79	$104.71	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $162.18	Professional		$63.10	$100.00	$162.18