Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.28 / $3,226.00 / $8,294.00	Facility		$47.28	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $77.30 / $116.70	Professional		$36.39	$77.30	$116.70
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 $37.04 / $47.95 / $79.27	Professional		$37.04	$47.95	$79.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $44.72 / $822.00	Professional		$44.72	$44.72	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $420.00	Facility		$69.06	$69.06	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $78.72 / $152.12	Professional		$42.76	$78.72	$152.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.52 / $108.09 / $127.74	Professional		$83.52	$108.09	$127.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.28 / $83.94 / $143.65	Facility		$47.28	$83.94	$143.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $110.00 / $180.21	Professional		$96.00	$110.00	$180.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $54.78 / $375.97	Facility		$38.86	$54.78	$375.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $104.87 / $383.88	Professional		$73.68	$104.87	$383.88
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 $52.80 / $84.48 / $152.94	Professional		$52.80	$84.48	$152.94