Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.31 / $1,719.37 / $5,282.00	Facility		$193.31	$1,719.37	$5,282.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $164.46 / $271.42	Professional		$101.45	$164.46	$271.42
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 $103.56 / $132.44 / $218.96	Professional		$103.56	$132.44	$218.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.37 / $128.91 / $2,012.00	Professional		$119.37	$128.91	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.14 / $193.14 / $420.00	Facility		$193.14	$193.14	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.49 / $179.16 / $313.74	Professional		$114.49	$179.16	$313.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.47 / $204.13 / $239.20	Professional		$159.47	$204.13	$239.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.58 / $193.31 / $315.80	Facility		$125.58	$193.31	$315.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $244.00 / $317.00	Professional		$213.00	$244.00	$317.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $110.75 / $152.25 / $802.56	Facility		$110.75	$152.25	$802.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $228.79 / $819.45	Professional		$164.75	$228.79	$819.45
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $216.03 / $343.12	Professional		$129.10	$216.03	$343.12