Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $4,032.00 / $8,920.00	Facility		$24.08	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $24.08 / $33.82	Professional		$20.34	$24.08	$33.82
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 $0.02 / $0.02 / $19.82	Professional		$0.02	$0.02	$19.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $697.00 / $940.00 / $12,398.00	Professional		$697.00	$940.00	$12,398.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $47.88 / $67.59	Professional		$28.47	$47.88	$67.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $65.12 / $78.90	Professional		$54.27	$65.12	$78.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.86 / $33.82 / $50.73	Facility		$23.86	$33.82	$50.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $68.00 / $89.76	Professional		$37.00	$68.00	$89.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $29.97 / $819.00	Facility		$23.68	$29.97	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $29.97 / $819.00	Professional		$23.68	$29.97	$819.00
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 $19.39 / $32.39 / $48.85	Professional		$19.39	$32.39	$48.85