Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.27 / $3,226.00 / $8,294.00	Facility		$74.27	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $85.15 / $142.31	Professional		$59.48	$85.15	$142.31
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 $64.87 / $90.87 / $150.16	Professional		$64.87	$90.87	$150.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.94 / $65.94 / $822.00	Professional		$65.94	$65.94	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.58 / $111.58 / $640.00	Facility		$111.58	$111.58	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $95.31 / $168.75	Professional		$67.14	$95.31	$168.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $107.87 / $127.48	Professional		$83.91	$107.87	$127.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $98.22 / $148.26	Facility		$73.55	$98.22	$148.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $118.00 / $163.00	Professional		$102.00	$118.00	$163.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $62.59 / $83.43 / $396.66	Facility		$62.59	$83.43	$396.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $106.85 / $405.00	Professional		$84.17	$106.85	$405.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $108.95 / $163.41	Professional		$68.09	$108.95	$163.41