Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $1,938.00 / $8,294.00	Facility		$78.00	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $74.04 / $127.42	Professional		$58.57	$74.04	$127.42
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 $54.95 / $73.20 / $105.99	Professional		$54.95	$73.20	$105.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.76 / $88.69 / $1,013.00	Professional		$61.76	$88.69	$1,013.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $89.24 / $156.88	Professional		$61.34	$89.24	$156.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $79.66 / $98.24	Professional		$66.38	$79.66	$98.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.50 / $88.14 / $131.82	Facility		$65.50	$88.14	$131.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $103.69 / $133.00	Professional		$87.00	$103.69	$133.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.88 / $79.25 / $805.00	Facility		$59.88	$79.25	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $73.53 / $94.99 / $805.00	Professional		$73.53	$94.99	$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 $60.42 / $101.55 / $149.86	Professional		$60.42	$101.55	$149.86