Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $3,226.00 / $8,294.00	Facility		$47.05	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.51 / $73.05 / $94.94	Professional		$44.51	$73.05	$94.94
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 $40.83 / $69.48 / $104.18	Professional		$40.83	$69.48	$104.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $71.76 / $974.00	Professional		$48.24	$71.76	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $79.38 / $133.69	Professional		$45.56	$79.38	$133.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $86.48 / $106.66	Professional		$72.06	$86.48	$106.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $81.45 / $131.33	Facility		$47.05	$81.45	$131.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $101.00 / $143.44	Professional		$87.00	$101.00	$143.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.83 / $55.96 / $805.00	Facility		$41.83	$55.96	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $97.82 / $805.00	Professional		$73.48	$97.82	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $828.00 / $2,364.00	Facility		$206.00	$828.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.59 / $104.50 / $153.81	Professional		$63.59	$104.50	$153.81