Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.83 / $3,633.00 / $8,920.00	Facility		$52.83	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $52.83 / $76.36	Professional		$48.80	$52.83	$76.36
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 $42.82 / $54.52 / $75.98	Professional		$42.82	$54.52	$75.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.79 / $56.20 / $109.59	Professional		$53.79	$56.20	$109.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $64.88 / $91.44	Professional		$47.43	$64.88	$91.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.59 / $52.31 / $64.51	Professional		$43.59	$52.31	$64.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.83 / $64.84 / $96.13	Facility		$52.83	$64.84	$96.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $75.00 / $108.26	Professional		$63.00	$75.00	$108.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $48.91 / $65.76 / $1,169.82	Facility		$48.91	$65.76	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $66.20 / $1,169.82	Professional		$48.91	$66.20	$1,169.82
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $69.12 / $103.07	Professional		$41.56	$69.12	$103.07