Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $3,633.00 / $8,920.00	Facility		$52.89	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $61.09 / $84.82	Professional		$45.13	$61.09	$84.82
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 $50.78 / $78.06 / $114.79	Professional		$50.78	$78.06	$114.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $48.01 / $974.00	Professional		$48.01	$48.01	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.45 / $88.45 / $88.45	Facility		$88.45	$88.45	$88.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.35 / $80.52 / $132.34	Professional		$52.35	$80.52	$132.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.42 / $96.82 / $115.26	Professional		$86.42	$96.82	$115.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $76.27 / $117.57	Facility		$49.38	$76.27	$117.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $108.00 / $151.30	Professional		$96.00	$108.00	$151.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $48.09 / $66.05 / $1,098.00	Facility		$48.09	$66.05	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $98.20 / $1,098.00	Professional		$73.76	$98.20	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $82.30 / $144.66	Professional		$57.75	$82.30	$144.66