Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $3,633.00 / $8,294.00	Facility		$70.33	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $82.14 / $139.91	Professional		$60.06	$82.14	$139.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.61 / $81.34 / $112.96	Professional		$63.61	$81.34	$112.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $95.42 / $122.02 / $169.44	Professional	50	$95.42	$122.02	$169.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.94 / $157.15 / $2,413.00	Professional		$77.94	$157.15	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.91 / $114.91 / $114.91	Facility		$114.91	$114.91	$114.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $91.57 / $149.31	Professional		$64.48	$91.57	$149.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $90.40 / $115.54	Professional		$76.84	$90.40	$115.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.12 / $91.37 / $136.69	Facility		$66.12	$91.37	$136.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $111.00 / $155.38	Professional		$99.00	$111.00	$155.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $61.04 / $86.08 / $3,440.00	Facility		$61.04	$86.08	$3,440.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $100.43 / $3,440.00	Professional		$78.33	$100.43	$3,440.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.89 / $78.38 / $130.91	Professional		$57.89	$78.38	$130.91