Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.89 / $4,771.00 / $9,539.00	Facility		$93.89	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $93.89 / $113.42	Professional		$77.78	$93.89	$113.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $95.89 / $136.57	Professional		$74.98	$95.89	$136.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $89.76 / $169.46	Professional		$84.31	$89.76	$169.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.41 / $526.00 / $925.00	Facility		$93.41	$526.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.04 / $109.59 / $187.12	Professional		$81.04	$109.59	$187.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $92.40 / $133.97	Professional		$76.28	$92.40	$133.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $109.59 / $154.82	Facility		$85.00	$109.59	$154.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $113.26 / $186.84	Professional		$101.00	$113.26	$186.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $84.58 / $104.54 / $191.59	Facility		$84.58	$104.54	$191.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $84.58 / $104.54 / $191.59	Professional		$84.58	$104.54	$191.59
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $104.44 / $162.94	Professional		$66.91	$104.44	$162.94