Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $227.76 / $429.60	Facility		$90.00	$227.76	$429.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $98.40 / $102.00	Professional		$90.00	$98.40	$102.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $589.79	Facility		$120.00	$120.00	$589.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $77.15	Professional		$48.00	$48.00	$77.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $96.00 / $112.32	Professional		$21.62	$96.00	$112.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $205.10 / $543.30	Facility		$78.00	$205.10	$543.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.17 / $72.81 / $198.00	Professional		$59.17	$72.81	$198.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $144.00 / $177.60	Professional		$120.00	$144.00	$177.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.90 / $138.00 / $204.00	Facility		$99.90	$138.00	$204.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $168.00 / $288.00	Professional		$120.00	$168.00	$288.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $98.40 / $144.24 / $9,929.00	Facility		$98.40	$144.24	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $144.24 / $9,929.00	Professional		$98.40	$144.24	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $50.40 / $50.40	Facility		$50.40	$50.40	$50.40
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $62.40 / $138.00	Professional		$50.40	$62.40	$138.00