Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $3,226.00 / $8,294.00	Facility		$54.44	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $65.26 / $124.75	Professional		$43.37	$65.26	$124.75
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 $42.84 / $66.33 / $98.46	Professional		$42.84	$66.33	$98.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.81 / $54.81 / $974.00	Professional		$54.81	$54.81	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.47 / $76.47 / $76.47	Facility		$76.47	$76.47	$76.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $68.98 / $126.56	Professional		$45.59	$68.98	$126.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.47 / $81.29 / $96.78	Professional		$73.47	$81.29	$96.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $65.79 / $98.64	Facility		$44.22	$65.79	$98.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $98.00 / $131.00	Professional		$81.00	$98.00	$131.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.04 / $62.50 / $1,098.00	Facility		$45.04	$62.50	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $85.62 / $1,098.00	Professional		$62.83	$85.62	$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 $54.14 / $71.38 / $126.28	Professional		$54.14	$71.38	$126.28