Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.63 / $2,998.00 / $8,294.00	Facility		$39.63	$2,998.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $45.84 / $70.98	Professional		$34.19	$45.84	$70.98
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 $31.35 / $40.09 / $66.92	Professional		$31.35	$40.09	$66.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $36.19 / $822.00	Professional		$35.53	$36.19	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $58.29 / $572.00	Facility		$58.29	$58.29	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $54.99 / $94.13	Professional		$35.18	$54.99	$94.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $54.43 / $63.30	Professional		$42.52	$54.43	$63.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $59.80 / $95.53	Facility		$39.45	$59.80	$95.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $79.00 / $90.00	Professional		$64.00	$79.00	$90.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $47.06 / $152.68	Facility		$32.61	$47.06	$152.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $67.47 / $210.95	Professional		$43.74	$67.47	$210.95
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $66.12 / $98.16	Professional		$36.86	$66.12	$98.16