Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.09 / $3,226.00 / $8,294.00	Facility		$136.09	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.08 / $148.21 / $241.68	Professional		$123.08	$148.21	$241.68
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 $135.12 / $171.84 / $242.85	Professional		$135.12	$171.84	$242.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $200.68 / $257.77 / $364.27	Professional	50	$200.68	$257.77	$364.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $167.96 / $340.80 / $3,426.00	Professional		$167.96	$340.80	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.01 / $248.01 / $248.01	Facility		$248.01	$248.01	$248.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $184.75 / $341.24	Professional		$135.47	$184.75	$341.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $174.00 / $222.70	Professional		$147.90	$174.00	$222.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.54 / $187.76 / $287.72	Facility		$137.54	$187.76	$287.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $217.00 / $298.38	Professional		$193.00	$217.00	$298.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $128.26 / $184.47 / $7,420.00	Facility		$128.26	$184.47	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $205.54 / $7,420.00	Professional		$150.91	$205.54	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $150.13 / $277.89	Professional		$111.80	$150.13	$277.89