Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.79 / $3,226.00 / $8,294.00	Facility		$60.79	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $82.31 / $115.04	Professional		$56.44	$82.31	$115.04
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 $52.03 / $81.87 / $119.31	Professional		$52.03	$81.87	$119.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $90.60 / $974.00	Professional		$61.10	$90.60	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.19 / $91.66 / $152.94	Professional		$58.19	$91.66	$152.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $98.45 / $121.42	Professional		$82.04	$98.45	$121.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.79 / $95.38 / $147.58	Facility		$60.79	$95.38	$147.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $117.13 / $161.27	Professional		$101.00	$117.13	$161.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.89 / $72.29 / $805.00	Facility		$53.89	$72.29	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $82.75 / $111.04 / $805.00	Professional		$82.75	$111.04	$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 $71.08 / $116.77 / $175.97	Professional		$71.08	$116.77	$175.97