Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $3,226.00 / $8,294.00	Facility		$34.15	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $106.73 / $180.45	Professional		$27.14	$106.73	$180.45
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 $27.65 / $35.36 / $59.04	Professional		$27.65	$35.36	$59.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $36.79 / $940.00	Professional		$32.95	$36.79	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.00 / $640.00	Facility		$51.00	$51.00	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $103.67 / $215.51	Professional		$32.29	$103.67	$215.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.83 / $140.83 / $166.44	Professional		$108.83	$140.83	$166.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $116.13 / $217.34	Facility		$34.15	$116.13	$217.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $172.37 / $232.00	Professional		$154.00	$172.37	$232.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.20 / $40.11 / $587.23	Facility		$29.20	$40.11	$587.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $123.08 / $165.36 / $599.58	Professional		$123.08	$165.36	$599.58
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 $100.52 / $165.51 / $249.06	Professional		$100.52	$165.51	$249.06