Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $3,633.00 / $8,920.00	Facility		$45.89	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $62.63 / $85.32	Professional		$43.29	$62.63	$85.32
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 $39.52 / $68.28 / $102.36	Professional		$39.52	$68.28	$102.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.53 / $69.08 / $974.00	Professional		$46.53	$69.08	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $78.33 / $131.71	Professional		$43.88	$78.33	$131.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $85.34 / $105.26	Professional		$71.12	$85.34	$105.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $79.22 / $130.27	Facility		$45.89	$79.22	$130.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $99.00 / $140.91	Professional		$86.00	$99.00	$140.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40.44 / $54.82 / $805.00	Facility		$40.44	$54.82	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $97.84 / $805.00	Professional		$72.20	$97.84	$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 $62.02 / $101.70 / $151.53	Professional		$62.02	$101.70	$151.53