Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.06 / $3,633.00 / $8,920.00	Facility		$52.06	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $47.95 / $81.20	Professional		$39.27	$47.95	$81.20
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 $39.97 / $51.89 / $71.68	Professional		$39.97	$51.89	$71.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $40.46 / $3,026.00	Professional		$40.46	$40.46	$3,026.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.02 / $51.02 / $51.02	Facility		$51.02	$51.02	$51.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $56.10 / $119.13	Professional		$41.48	$56.10	$119.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $49.79 / $59.28	Professional		$45.05	$49.79	$59.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.01 / $54.02 / $108.04	Facility		$42.01	$54.02	$108.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $67.97 / $115.00	Professional		$59.00	$67.97	$115.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $61.70 / $1,098.00	Facility		$46.86	$61.70	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $66.38 / $1,098.00	Professional		$47.33	$66.38	$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 $36.42 / $50.18 / $103.58	Professional		$36.42	$50.18	$103.58