Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.84 / $3,633.00 / $8,920.00	Facility		$94.84	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $117.48 / $184.12	Professional		$89.18	$117.48	$184.12
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 $86.94 / $117.92 / $173.20	Professional		$86.94	$117.92	$173.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $152.12 / $974.00	Professional		$104.63	$152.12	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $133.10 / $230.76	Professional		$92.70	$133.10	$230.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.53 / $135.04 / $166.54	Professional		$112.53	$135.04	$166.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.37 / $137.71 / $200.28	Facility		$98.37	$137.71	$200.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $155.00 / $219.79	Professional		$133.00	$155.00	$219.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $84.60 / $112.02 / $805.00	Facility		$84.60	$112.02	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $111.56 / $145.78 / $805.00	Professional		$111.56	$145.78	$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 $97.73 / $156.36 / $239.17	Professional		$97.73	$156.36	$239.17