Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $189.13 / $8,920.00	Facility		$70.06	$189.13	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $135.82 / $237.34	Professional		$60.10	$135.82	$237.34
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 $59.00 / $75.45 / $103.49	Professional		$59.00	$75.45	$103.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.16 / $106.79 / $3,426.00	Professional		$74.16	$106.79	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.76 / $139.91 / $256.93	Professional		$70.76	$139.91	$256.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.12 / $162.13 / $200.55	Professional		$135.12	$162.13	$200.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $145.54 / $239.22	Facility		$70.06	$145.54	$239.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $195.00 / $290.00	Professional		$167.00	$195.00	$290.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.58 / $86.39 / $1,683.00	Facility		$63.58	$86.39	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $185.58 / $1,683.00	Professional		$129.11	$185.58	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.39 / $183.14 / $301.70	Professional		$114.39	$183.14	$301.70