Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $3,991.00 / $8,920.00	Facility		$51.00	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
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 $93.19 / $118.18 / $163.16	Professional		$93.19	$118.18	$163.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $346.00 / $822.00 / $1,013.00	Professional		$346.00	$822.00	$1,013.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $48.17 / $48.18	Professional		$48.17	$48.17	$48.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $221.00 / $221.00	Professional		$221.00	$221.00	$221.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $56.10 / $119.06	Facility		$51.00	$56.10	$119.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.89 / $59.00 / $61.00	Professional		$57.89	$59.00	$61.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.22 / $805.00 / $9,929.00	Facility		$42.22	$805.00	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $805.00 / $9,929.00	Professional		$42.22	$805.00	$9,929.00
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