Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.59 / $4,032.00 / $8,920.00	Facility		$200.59	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.95 / $200.59 / $374.17	Professional		$166.95	$200.59	$374.17
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 $164.42 / $210.26 / $288.37	Professional		$164.42	$210.26	$288.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $197.56 / $293.18 / $916.00	Professional		$197.56	$293.18	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $1,265.00 / $7,650.00	Facility		$116.00	$1,265.00	$7,650.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.89 / $238.03 / $442.57	Professional		$172.89	$238.03	$442.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.05 / $198.06 / $244.27	Professional		$165.05	$198.06	$244.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $174.85 / $238.62 / $327.68	Facility		$174.85	$238.62	$327.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $257.00 / $408.05	Professional		$225.00	$257.00	$408.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $178.95 / $242.74 / $819.00	Facility		$178.95	$242.74	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $178.95 / $242.74 / $819.00	Professional		$178.95	$242.74	$819.00
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 $147.60 / $256.61 / $390.56	Professional		$147.60	$256.61	$390.56