Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.19 / $219.88 / $2,616.00	Facility		$81.19	$219.88	$2,616.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $78.84 / $119.65	Professional		$43.79	$78.84	$119.65
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 $45.31 / $62.09 / $102.65	Professional		$45.31	$62.09	$102.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $45.02 / $822.00	Professional		$45.02	$45.02	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.37 / $89.37 / $89.37	Facility		$89.37	$89.37	$89.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.35 / $87.92 / $154.66	Professional		$52.35	$87.92	$154.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $116.60 / $137.80	Professional		$90.10	$116.60	$137.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.20 / $91.48 / $150.69	Facility		$54.20	$91.48	$150.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $113.00 / $156.00	Professional		$101.00	$113.00	$156.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.97 / $65.28 / $393.96	Facility		$46.97	$65.28	$393.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $106.08 / $402.24	Professional		$75.44	$106.08	$402.24
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 $59.66 / $99.15 / $159.61	Professional		$59.66	$99.15	$159.61