Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.87 / $1,792.00 / $8,920.00	Facility		$73.87	$1,792.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $85.31 / $149.69	Professional		$55.92	$85.31	$149.69
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 $58.29 / $91.91 / $134.58	Professional		$58.29	$91.91	$134.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $96.97 / $2,315.00	Professional		$64.98	$96.97	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $99.55 / $171.82	Professional		$65.84	$99.55	$171.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $108.88 / $134.28	Professional		$90.73	$108.88	$134.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.02 / $98.64 / $152.19	Facility		$67.02	$98.64	$152.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $120.00 / $180.00	Professional		$102.00	$120.00	$180.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.93 / $81.39 / $1,171.00	Facility		$60.93	$81.39	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $113.69 / $1,171.00	Professional		$87.37	$113.69	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.22 / $118.15 / $186.19	Professional		$74.22	$118.15	$186.19