Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $2,840.00 / $8,294.00	Facility		$69.70	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $76.72 / $131.05	Professional		$57.03	$76.72	$131.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $78.36 / $116.77	Professional		$58.61	$78.36	$116.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $68.51 / $137.71	Professional		$67.08	$68.51	$137.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.54 / $100.37 / $610.00	Facility		$44.54	$100.37	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $90.35 / $158.61	Professional		$61.11	$90.35	$158.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $88.96 / $148.54	Professional		$70.81	$88.96	$148.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $91.79 / $141.94	Facility		$64.34	$91.79	$141.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $118.00 / $145.00	Professional		$100.00	$118.00	$145.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.91 / $74.51 / $134.87	Facility		$58.91	$74.51	$134.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $76.55 / $101.73 / $180.32	Professional		$76.55	$101.73	$180.32
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $91.62 / $150.16	Professional		$62.69	$91.62	$150.16