Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.54 / $3,633.00 / $8,920.00	Facility		$52.54	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $64.91 / $96.71	Professional		$52.54	$64.91	$96.71
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 $58.69 / $75.06 / $104.22	Professional		$58.69	$75.06	$104.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $156.72 / $2,413.00	Professional		$70.40	$156.72	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.59 / $109.59 / $109.59	Facility		$109.59	$109.59	$109.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $87.59 / $137.29	Professional		$62.53	$87.59	$137.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.93 / $83.45 / $108.26	Professional		$70.93	$83.45	$108.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.30 / $83.63 / $127.47	Facility		$61.30	$83.63	$127.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $113.00 / $144.40	Professional		$92.00	$113.00	$144.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.67 / $86.41 / $1,380.00	Facility		$46.67	$86.41	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $96.88 / $1,380.00	Professional		$63.14	$96.88	$1,380.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $68.20 / $119.73	Professional		$53.37	$68.20	$119.73