Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.17 / $3,226.00 / $8,294.00	Facility		$63.17	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $88.45 / $164.88	Professional		$55.00	$88.45	$164.88
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 $52.52 / $86.56 / $132.06	Professional		$52.52	$86.56	$132.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $67.93 / $2,315.00	Professional		$67.93	$67.93	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $94.50 / $94.50	Facility		$94.50	$94.50	$94.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.59 / $102.56 / $164.11	Professional		$55.59	$102.56	$164.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.57 / $109.41 / $130.25	Professional		$98.57	$109.41	$130.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.69 / $96.99 / $154.13	Facility		$53.69	$96.99	$154.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $136.00 / $201.00	Professional		$116.00	$136.00	$201.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $57.43 / $89.07 / $1,098.00	Facility		$57.43	$89.07	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $129.46 / $1,098.00	Professional		$94.13	$129.46	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $833.00 / $2,375.00	Facility		$231.00	$833.00	$2,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $102.08 / $168.04	Professional		$76.92	$102.08	$168.04