Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.30 / $2,561.00 / $8,294.00	Facility		$141.30	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $141.30 / $162.55	Professional		$109.73	$141.30	$162.55
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 $107.25 / $137.16 / $188.11	Professional		$107.25	$137.16	$188.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $200.00 / $1,013.00	Professional		$138.88	$200.00	$1,013.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.01 / $169.36 / $311.36	Professional		$116.01	$169.36	$311.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $131.04 / $161.62	Professional		$109.20	$131.04	$161.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.11 / $173.42 / $258.58	Facility		$120.11	$173.42	$258.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $181.00 / $270.95	Professional		$152.00	$181.00	$270.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $132.24 / $171.29 / $805.00	Facility		$132.24	$171.29	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $132.24 / $171.29 / $805.00	Professional		$132.24	$171.29	$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 $108.49 / $177.42 / $270.01	Professional		$108.49	$177.42	$270.01