Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.19 / $2,840.00 / $8,294.00	Facility		$72.19	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $93.34 / $143.19	Professional		$67.80	$93.34	$143.19
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 $61.91 / $86.37 / $127.17	Professional		$61.91	$86.37	$127.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $107.90 / $974.00	Professional		$72.48	$107.90	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $104.22 / $175.21	Professional		$68.20	$104.22	$175.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $101.40 / $125.06	Professional		$84.50	$101.40	$125.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.19 / $102.20 / $155.55	Facility		$72.19	$102.20	$155.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $121.95 / $167.90	Professional		$104.00	$121.95	$167.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.97 / $86.34 / $805.00	Facility		$63.97	$86.34	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $86.88 / $115.85 / $805.00	Professional		$86.88	$115.85	$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 $73.86 / $121.00 / $185.70	Professional		$73.86	$121.00	$185.70