Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.24 / $3,633.00 / $8,294.00	Facility		$52.24	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $90.78 / $146.16	Professional		$42.10	$90.78	$146.16
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 $42.43 / $53.45 / $89.04	Professional		$42.43	$53.45	$89.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $51.59 / $822.00	Professional		$47.35	$51.59	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $640.00	Facility		$78.31	$78.31	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $99.40 / $197.65	Professional		$49.72	$99.40	$197.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $112.22 / $132.63	Professional		$87.31	$112.22	$132.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.24 / $97.18 / $193.53	Facility		$52.24	$97.18	$193.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $157.00 / $190.68	Professional		$127.00	$157.00	$190.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $62.12 / $463.31	Facility		$46.10	$62.12	$463.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $159.19 / $473.06	Professional		$101.95	$159.19	$473.06
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $151.61 / $236.66	Professional		$81.70	$151.61	$236.66