Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.92 / $2,561.00 / $8,294.00	Facility		$43.92	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $43.92 / $55.05	Professional		$37.47	$43.92	$55.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $44.02 / $60.37	Professional		$34.42	$44.02	$60.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $60.26 / $3,026.00	Professional		$40.85	$60.26	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $52.22 / $97.44	Professional		$37.84	$52.22	$97.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $42.22 / $52.07	Professional		$35.18	$42.22	$52.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $53.87 / $77.23	Facility		$39.96	$53.87	$77.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $56.00 / $87.48	Professional		$49.00	$56.00	$87.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.02 / $52.23 / $3,512.00	Facility		$39.02	$52.23	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $52.23 / $3,512.00	Professional		$39.02	$52.23	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $55.80 / $84.50	Professional		$33.29	$55.80	$84.50