Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.51 / $2,561.00 / $8,294.00	Facility		$52.51	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $52.51 / $61.14	Professional		$40.04	$52.51	$61.14
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 $43.94 / $56.20 / $77.06	Professional		$43.94	$56.20	$77.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.09 / $68.26 / $3,026.00	Professional		$53.09	$68.26	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.57 / $63.40 / $119.18	Professional		$46.57	$63.40	$119.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $54.70 / $67.45	Professional		$45.58	$54.70	$67.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.80 / $61.44 / $85.77	Facility		$42.80	$61.44	$85.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $68.00 / $111.19	Professional		$59.00	$68.00	$111.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $49.45 / $62.45 / $4,071.00	Facility		$49.45	$62.45	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $62.45 / $4,071.00	Professional		$49.45	$62.45	$4,071.00
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 $38.81 / $62.58 / $103.36	Professional		$38.81	$62.58	$103.36