Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.51 / $5,048.00 / $10,767.00	Facility		$85.51	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $80.06 / $85.51	Professional		$68.47	$80.06	$85.51
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 $55.83 / $69.34 / $97.83	Professional		$55.83	$69.34	$97.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $2,315.00	Professional		$100.00	$100.00	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.73 / $88.73 / $88.73	Facility		$88.73	$88.73	$88.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $89.16 / $155.86	Professional		$73.62	$89.16	$155.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $91.16 / $108.53	Professional		$82.07	$91.16	$108.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.83 / $85.51 / $120.09	Facility		$66.83	$85.51	$120.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $116.90 / $183.48	Professional		$46.00	$116.90	$183.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $68.92 / $95.89 / $1,098.00	Facility		$68.92	$95.89	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $95.89 / $1,098.00	Professional		$68.92	$95.89	$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 $58.47 / $80.16 / $138.56	Professional		$58.47	$80.16	$138.56