Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $616.00 / $7,275.00	Facility		$74.09	$616.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $93.95 / $180.88	Professional		$40.40	$93.95	$180.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,266.00 / $8,669.00 / $11,373.00	Facility		$6,266.00	$8,669.00	$11,373.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $96.50 / $174.41	Professional		$34.94	$96.50	$174.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $36.40 / $697.00	Professional		$36.40	$36.40	$697.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $59.84	Facility		$59.84	$59.84	$59.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $117.74 / $223.38	Professional		$39.70	$117.74	$223.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.27 / $133.52 / $163.91	Professional		$111.27	$133.52	$163.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.52 / $129.18 / $221.13	Facility		$43.52	$129.18	$221.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $159.00 / $223.00	Professional		$137.00	$159.00	$223.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $62.07 / $161.84	Facility		$39.22	$62.07	$161.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $120.48 / $161.19 / $285.82	Professional		$120.48	$161.19	$285.82
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,375.00	Facility		$296.00	$1,148.00	$2,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $159.49 / $253.90	Professional		$108.85	$159.49	$253.90