Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.80 / $2,516.00 / $8,294.00	Facility		$84.80	$2,516.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $103.42 / $176.79	Professional		$75.56	$103.42	$176.79
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 $73.14 / $93.53 / $154.63	Professional		$73.14	$93.53	$154.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.36 / $84.36 / $822.00	Professional		$84.36	$84.36	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.76 / $131.76 / $640.00	Facility		$131.76	$131.76	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.04 / $119.79 / $209.18	Professional		$83.04	$119.79	$209.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $146.49 / $173.12	Professional		$113.19	$146.49	$173.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.80 / $123.53 / $185.14	Facility		$84.80	$123.53	$185.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $140.00 / $207.20	Professional		$122.00	$140.00	$207.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $100.14 / $498.28	Facility		$75.84	$100.14	$498.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $137.25 / $508.76	Professional		$99.89	$137.25	$508.76
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 $88.06 / $138.97 / $205.90	Professional		$88.06	$138.97	$205.90