Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $1,912.00 / $8,294.00	Facility		$66.95	$1,912.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $63.69 / $106.51	Professional		$40.22	$63.69	$106.51
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 $41.08 / $63.64 / $102.50	Professional		$41.08	$63.64	$102.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $46.01 / $822.00	Professional		$46.01	$46.01	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $70.06 / $420.00	Facility		$70.06	$70.06	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $66.31 / $114.02	Professional		$43.52	$66.31	$114.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $80.09 / $94.67	Professional		$62.37	$80.09	$94.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.36 / $66.95 / $108.43	Facility		$44.36	$66.95	$108.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $85.00 / $114.00	Professional		$75.00	$85.00	$114.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40.61 / $55.46 / $370.00	Facility		$40.61	$55.46	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $78.33 / $370.00	Professional		$56.47	$78.33	$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 $45.76 / $75.47 / $120.00	Professional		$45.76	$75.47	$120.00