Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $891.25 / $7,079.46	Facility		$63.10	$891.25	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $125.89	Professional		$36.31	$52.48	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $8,709.64 / $12,022.64	Facility		$6,918.31	$8,709.64	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $75.86	Professional		$41.69	$54.95	$75.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $758.58 / $954.99	Professional		$47.86	$758.58	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $91.20	Professional		$43.65	$66.07	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $58.88	Professional		$39.81	$47.86	$58.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $100.00	Professional		$75.86	$95.50	$100.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $70.79 / $100.00	Facility		$44.67	$70.79	$100.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $67.61 / $7,413.10	Facility		$41.69	$67.61	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $7,413.10	Professional		$41.69	$67.61	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,230.27 / $14,791.08	Facility		$229.09	$1,230.27	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $97.72	Professional		$39.81	$69.18	$97.72