Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.58 / $812.00 / $7,883.58	Facility		$101.58	$812.00	$7,883.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.32 / $95.88 / $147.13	Professional		$52.32	$95.88	$147.13
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 $52.77 / $89.55 / $138.06	Professional		$52.77	$89.55	$138.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $61.57 / $123.76	Professional		$59.12	$61.57	$123.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $88.85 / $610.00	Facility		$64.52	$88.85	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $106.25 / $195.34	Professional		$59.12	$106.25	$195.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.48 / $112.11 / $191.36	Professional		$89.48	$112.11	$191.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.77 / $110.44 / $179.47	Facility		$60.77	$110.44	$179.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $148.00 / $191.00	Professional		$127.00	$148.00	$191.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $55.94 / $72.39 / $127.69	Facility		$55.94	$72.39	$127.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $105.46 / $130.58 / $238.74	Professional		$105.46	$130.58	$238.74
United Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $1,560.00 / $3,499.00	Facility		$250.00	$1,560.00	$3,499.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $128.11 / $201.28	Professional		$84.38	$128.11	$201.28