Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $3,633.00 / $8,920.00	Facility		$400.00	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.03 / $94.97 / $400.00	Professional		$64.03	$94.97	$400.00
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 $59.78 / $77.42 / $106.18	Professional		$59.78	$77.42	$106.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $76.43 / $87.89	Professional		$72.08	$76.43	$87.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.26 / $112.26 / $112.26	Facility		$112.26	$112.26	$112.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.58 / $305.58 / $459.92	Professional		$305.58	$305.58	$459.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.45 / $113.23 / $134.80	Professional		$102.45	$113.23	$134.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.88 / $99.34 / $400.00	Facility		$61.88	$99.34	$400.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $155.33 / $182.00	Professional		$93.00	$155.33	$182.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $68.26 / $101.98 / $9,929.00	Facility		$68.26	$101.98	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.02 / $155.18 / $9,929.00	Professional		$104.02	$155.18	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $926.62 / $2,364.00	Facility		$296.00	$926.62	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $119.30 / $190.96	Professional		$86.76	$119.30	$190.96