Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.14 / $2,840.00 / $8,294.00	Facility		$92.14	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $92.14 / $156.63	Professional		$43.72	$92.14	$156.63
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 / $51.48 / $85.94	Professional		$40.86	$51.48	$85.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $53.21 / $822.00	Professional		$47.94	$53.21	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.15 / $74.15 / $420.00	Facility		$74.15	$74.15	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $110.45 / $199.89	Professional		$51.39	$110.45	$199.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $97.23 / $114.91	Professional		$75.23	$97.23	$114.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.18 / $123.49 / $232.82	Facility		$63.18	$123.49	$232.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $111.93 / $182.00 / $224.00	Professional		$111.93	$182.00	$224.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $49.06 / $95.89 / $780.00	Facility		$49.06	$95.89	$780.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $155.43 / $780.00	Professional		$90.95	$155.43	$780.00
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $117.21 / $219.66	Professional		$59.71	$117.21	$219.66