Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.83 / $3,226.00 / $8,294.00	Facility		$58.83	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $110.79 / $175.83	Professional		$53.11	$110.79	$175.83
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 $49.82 / $123.83 / $210.18	Professional		$49.82	$123.83	$210.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $88.10 / $3,026.00	Professional		$57.99	$88.10	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $138.18 / $260.83	Professional		$58.14	$138.18	$260.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.18 / $171.82 / $211.91	Professional		$143.18	$171.82	$211.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.83 / $143.18 / $242.33	Facility		$58.83	$143.18	$242.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $176.00 / $287.00	Professional		$147.00	$176.00	$287.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.69 / $70.27 / $1,683.00	Facility		$53.69	$70.27	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $139.32 / $179.67 / $1,683.00	Professional		$139.32	$179.67	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.49 / $177.60 / $291.33	Professional		$118.49	$177.60	$291.33