Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.53 / $1,005.00 / $5,412.00	Facility		$73.53	$1,005.00	$5,412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $96.42 / $161.44	Professional		$41.15	$96.42	$161.44
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 $41.25 / $84.25 / $136.93	Professional		$41.25	$84.25	$136.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $80.98 / $2,413.00	Professional		$54.89	$80.98	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $100.10 / $199.73	Professional		$47.46	$100.10	$199.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.22 / $110.66 / $136.49	Professional		$92.22	$110.66	$136.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $102.82 / $194.11	Facility		$49.38	$102.82	$194.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $152.69 / $222.00	Professional		$126.00	$152.69	$222.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $44.63 / $58.73 / $1,171.00	Facility		$44.63	$58.73	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $142.34 / $1,171.00	Professional		$101.00	$142.34	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.92 / $142.61 / $235.96	Professional		$88.92	$142.61	$235.96