Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.48 / $1,938.00 / $8,294.00	Facility		$56.48	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $101.55 / $135.87	Professional		$47.25	$101.55	$135.87
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 $43.94 / $56.20 / $77.06	Professional		$43.94	$56.20	$77.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $84.92 / $2,315.00	Professional		$58.97	$84.92	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $110.94 / $208.27	Professional		$54.15	$110.94	$208.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $117.82 / $145.31	Professional		$98.18	$117.82	$145.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.39 / $104.40 / $172.42	Facility		$53.39	$104.40	$172.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $162.00 / $244.80	Professional		$131.00	$162.00	$244.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.82 / $66.31 / $1,171.00	Facility		$50.82	$66.31	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $109.29 / $148.53 / $1,171.00	Professional		$109.29	$148.53	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $144.88 / $248.34	Professional		$92.73	$144.88	$248.34