Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.89 / $4,390.00 / $10,767.00	Facility		$77.89	$4,390.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.01 / $77.89 / $114.11	Professional		$66.01	$77.89	$114.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,312.32 / $2,001.45 / $7,155.00	Facility		$1,312.32	$2,001.45	$7,155.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $77.72 / $108.33	Professional		$61.05	$77.72	$108.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $88.94 / $173.43	Professional		$77.05	$88.94	$173.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $92.06 / $152.81	Professional		$66.06	$92.06	$152.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $76.86 / $94.79	Professional		$64.05	$76.86	$94.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.89 / $93.71 / $141.24	Facility		$77.89	$93.71	$141.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $102.00 / $158.00	Professional		$93.00	$102.00	$158.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.67 / $92.25 / $3,658.00	Facility		$67.67	$92.25	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $92.25 / $3,658.00	Professional		$67.67	$92.25	$3,658.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $7,044.00	Facility		$1,547.00	$3,130.00	$7,044.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $97.03 / $141.75	Professional		$58.73	$97.03	$141.75