Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.98 / $3,633.00 / $8,920.00	Facility		$64.98	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $98.32 / $202.17	Professional		$51.51	$98.32	$202.17
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 $49.34 / $98.29 / $160.35	Professional		$49.34	$98.29	$160.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $61.95 / $974.00	Professional		$61.95	$61.95	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.30 / $88.30 / $88.30	Facility		$88.30	$88.30	$88.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $111.17 / $176.85	Professional		$52.52	$111.17	$176.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $136.63 / $162.66	Professional		$121.61	$136.63	$162.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $104.22 / $155.04	Facility		$51.10	$104.22	$155.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $142.00 / $204.47	Professional		$119.00	$142.00	$204.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $54.73 / $95.49 / $1,098.00	Facility		$54.73	$95.49	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $96.97 / $136.50 / $1,098.00	Professional		$96.97	$136.50	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $819.00 / $2,364.00	Facility		$206.00	$819.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $112.24 / $193.56	Professional		$77.18	$112.24	$193.56