Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.70 / $3,633.00 / $8,920.00	Facility		$64.70	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $78.37 / $111.59	Professional		$50.36	$78.37	$111.59
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 $56.64 / $87.58 / $128.47	Professional		$56.64	$87.58	$128.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $102.86 / $2,315.00	Professional		$66.31	$102.86	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.93 / $99.25 / $165.79	Professional		$63.93	$99.25	$165.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $103.82 / $128.05	Professional		$86.52	$103.82	$128.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.70 / $98.14 / $153.51	Facility		$64.70	$98.14	$153.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $125.00 / $173.98	Professional		$106.00	$125.00	$173.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.59 / $79.56 / $805.00	Facility		$60.59	$79.56	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $115.68 / $805.00	Professional		$87.29	$115.68	$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 $73.06 / $124.75 / $194.61	Professional		$73.06	$124.75	$194.61