Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.11 / $3,226.00 / $8,920.00	Facility		$78.11	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.65 / $85.49 / $110.17	Professional		$63.65	$85.49	$110.17
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 $63.43 / $82.92 / $137.09	Professional		$63.43	$82.92	$137.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.85 / $61.85 / $822.00	Professional		$61.85	$61.85	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.61 / $118.61 / $118.61	Facility		$118.61	$118.61	$118.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $104.87 / $188.93	Professional		$69.02	$104.87	$188.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.16 / $128.33 / $151.66	Professional		$99.16	$128.33	$151.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $106.88 / $174.12	Facility		$72.45	$106.88	$174.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $125.00 / $180.00	Professional		$93.00	$125.00	$180.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.74 / $87.50 / $455.44	Facility		$60.74	$87.50	$455.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $123.34 / $465.02	Professional		$84.16	$123.34	$465.02
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 $68.20 / $111.83 / $184.05	Professional		$68.20	$111.83	$184.05