Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.86 / $3,355.00 / $8,294.00	Facility		$64.86	$3,355.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $1,054.48 / $2,021.15	Professional		$48.01	$1,054.48	$2,021.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $51.09 / $84.46	Professional		$39.95	$51.09	$84.46
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $59.92 / $76.63 / $123.15	Professional	50	$59.92	$76.63	$123.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.39 / $116.61 / $3,472.00	Professional		$45.39	$116.61	$3,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $74.09 / $74.09	Facility		$74.09	$74.09	$74.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $1,009.09 / $2,084.23	Professional		$47.78	$1,009.09	$2,084.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.45 / $1,447.59 / $1,809.49	Professional		$1,230.45	$1,447.59	$1,809.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.01 / $1,198.23 / $2,223.11	Facility		$48.01	$1,198.23	$2,223.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,558.00 / $1,915.50 / $2,577.00	Professional		$1,558.00	$1,915.50	$2,577.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.75 / $87.82 / $3,440.00	Facility		$51.75	$87.82	$3,440.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,226.29 / $1,687.10 / $3,932.00	Professional		$1,226.29	$1,687.10	$3,932.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,067.70 / $1,437.08 / $2,477.06	Professional		$1,067.70	$1,437.08	$2,477.06