Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.83 / $3,226.00 / $8,920.00	Facility		$54.83	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $90.55 / $156.22	Professional		$45.43	$90.55	$156.22
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 $42.40 / $54.23 / $74.37	Professional		$42.40	$54.23	$74.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $80.04 / $974.00	Professional		$55.58	$80.04	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $101.10 / $179.26	Professional		$54.00	$101.10	$179.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $107.94 / $133.13	Professional		$89.95	$107.94	$133.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.83 / $100.56 / $178.33	Facility		$54.83	$100.56	$178.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $136.44 / $202.00	Professional		$119.00	$136.44	$202.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $47.98 / $64.62 / $805.00	Facility		$47.98	$64.62	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $92.23 / $129.82 / $805.00	Professional		$92.23	$129.82	$805.00
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 $79.95 / $131.36 / $200.22	Professional		$79.95	$131.36	$200.22