Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $2,516.00 / $8,294.00	Facility		$50.24	$2,516.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.17 / $81.15 / $142.10	Professional		$43.17	$81.15	$142.10
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 $40.86 / $52.27 / $71.68	Professional		$40.86	$52.27	$71.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $70.45 / $2,315.00	Professional		$51.49	$70.45	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $91.08 / $163.78	Professional		$54.08	$91.08	$163.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.79 / $149.75 / $184.94	Professional		$124.79	$149.75	$184.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $91.46 / $156.34	Facility		$50.24	$91.46	$156.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $103.00 / $174.00	Professional		$89.00	$103.00	$174.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $61.29 / $805.00	Facility		$46.08	$61.29	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $114.18 / $805.00	Professional		$76.90	$114.18	$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 $71.39 / $109.34 / $182.94	Professional		$71.39	$109.34	$182.94