Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $1,938.00 / $8,294.00	Facility		$96.58	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $142.13 / $212.81	Professional		$79.84	$142.13	$212.81
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 $73.64 / $92.75 / $153.34	Professional		$73.64	$92.75	$153.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $97.96 / $2,012.00	Professional		$86.32	$97.96	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.82 / $133.82 / $640.00	Facility		$133.82	$133.82	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $142.79 / $254.09	Professional		$85.65	$142.79	$254.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.44 / $159.94 / $185.65	Professional		$125.44	$159.94	$185.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $157.09 / $242.30	Facility		$96.58	$157.09	$242.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $184.63 / $196.00 / $252.00	Professional		$184.63	$196.00	$252.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.03 / $116.36 / $780.00	Facility		$85.03	$116.36	$780.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $148.84 / $203.67 / $780.00	Professional		$148.84	$203.67	$780.00
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 $121.92 / $189.04 / $296.32	Professional		$121.92	$189.04	$296.32