Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.75 / $1,329.08 / $5,743.00	Facility		$91.75	$1,329.08	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $104.56 / $169.80	Professional		$54.89	$104.56	$169.80
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 $50.78 / $88.91 / $133.29	Professional		$50.78	$88.91	$133.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $88.78 / $974.00	Professional		$59.82	$88.78	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $104.89 / $179.40	Professional		$59.66	$104.89	$179.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.89 / $111.47 / $137.47	Professional		$92.89	$111.47	$137.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $105.79 / $186.42	Facility		$58.82	$105.79	$186.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $133.83 / $196.00	Professional		$113.00	$133.83	$196.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $76.08 / $805.00	Facility		$55.08	$76.08	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $96.76 / $137.26 / $805.00	Professional		$96.76	$137.26	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.34 / $135.62 / $212.16	Professional		$82.34	$135.62	$212.16