Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.13 / $2,561.00 / $8,294.00	Facility		$64.13	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.21 / $64.13 / $87.43	Professional		$55.21	$64.13	$87.43
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 $51.62 / $66.02 / $90.54	Professional		$51.62	$66.02	$90.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $90.01 / $2,413.00	Professional		$62.37	$90.01	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $87.33 / $142.76	Professional		$56.43	$87.33	$142.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $63.74 / $78.62	Professional		$53.12	$63.74	$78.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $82.02 / $133.06	Facility		$57.96	$82.02	$133.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $105.00 / $141.00	Professional		$72.00	$105.00	$141.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $62.86 / $89.75 / $1,171.00	Facility		$62.86	$89.75	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $89.75 / $1,171.00	Professional		$64.45	$89.75	$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 $49.96 / $86.74 / $123.91	Professional		$49.96	$86.74	$123.91