Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $3,226.00 / $8,294.00	Facility		$72.18	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $73.05 / $109.95	Professional		$61.61	$73.05	$109.95
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 $65.45 / $82.68 / $116.23	Professional		$65.45	$82.68	$116.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $180.41 / $2,413.00	Professional		$79.14	$180.41	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.99 / $119.99 / $119.99	Facility		$119.99	$119.99	$119.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $96.90 / $174.22	Professional		$68.59	$96.90	$174.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $92.33 / $119.32	Professional		$78.48	$92.33	$119.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $95.78 / $152.63	Facility		$67.89	$95.78	$152.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $122.00 / $162.88	Professional		$103.00	$122.00	$162.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $97.56 / $1,380.00	Facility		$48.96	$97.56	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $69.63 / $109.11 / $1,380.00	Professional		$69.63	$109.11	$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 $58.90 / $75.20 / $144.04	Professional		$58.90	$75.20	$144.04