Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.47 / $3,633.00 / $8,920.00	Facility		$77.47	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $93.22 / $111.80	Professional		$69.30	$93.22	$111.80
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 $68.86 / $103.77 / $152.60	Professional		$68.86	$103.77	$152.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $69.09 / $2,315.00	Professional		$69.09	$69.09	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.95 / $122.95 / $122.95	Facility		$122.95	$122.95	$122.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $109.83 / $189.09	Professional		$73.34	$109.83	$189.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.59 / $127.97 / $152.35	Professional		$114.59	$127.97	$152.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $104.26 / $161.21	Facility		$69.84	$104.26	$161.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $146.00 / $208.00	Professional		$123.00	$146.00	$208.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $93.33 / $1,098.00	Facility		$68.90	$93.33	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $101.97 / $134.81 / $1,098.00	Professional		$101.97	$134.81	$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 $76.97 / $109.54 / $191.78	Professional		$76.97	$109.54	$191.78