Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $2,840.00 / $6,873.72	Facility		$64.19	$2,840.00	$6,873.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $64.19 / $108.61	Professional		$41.48	$64.19	$108.61
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 $38.40 / $58.01 / $98.72	Professional		$38.40	$58.01	$98.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.66 / $47.01 / $822.00	Professional		$44.66	$47.01	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $70.38 / $420.00	Facility		$70.38	$70.38	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $68.04 / $118.13	Professional		$43.08	$68.04	$118.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $73.54 / $86.39	Professional		$57.45	$73.54	$86.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.64 / $70.92 / $110.83	Facility		$48.64	$70.92	$110.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $87.00 / $118.00	Professional		$78.00	$87.00	$118.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.32 / $53.85 / $370.00	Facility		$39.32	$53.85	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $78.20 / $370.00	Professional		$58.36	$78.20	$370.00
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 $48.35 / $77.04 / $118.34	Professional		$48.35	$77.04	$118.34