Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.59 / $7,205.75 / $21,562.00	Facility		$89.59	$7,205.75	$21,562.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $89.59 / $96.31	Professional		$57.63	$89.59	$96.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,735.00 / $16,211.00 / $19,276.00	Facility		$14,735.00	$16,211.00	$19,276.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.55 / $99.55 / $282.83	Professional		$99.55	$99.55	$282.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $211.42 / $325.42 / $348.80	Professional		$211.42	$325.42	$348.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.22 / $1,425.74 / $46,027.00	Facility		$52.22	$1,425.74	$46,027.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $109.88 / $201.58	Professional		$82.41	$109.88	$201.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.77 / $87.33 / $107.70	Professional		$72.77	$87.33	$107.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.77 / $106.67 / $157.66	Facility		$72.77	$106.67	$157.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $89.00 / $134.69	Professional		$24.00	$89.00	$134.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $82.56 / $188.77	Facility		$23.87	$82.56	$188.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $99.68 / $2,814.00	Professional		$24.56	$99.68	$2,814.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,719.00 / $4,651.00 / $27,559.00	Facility		$1,719.00	$4,651.00	$27,559.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $104.24 / $161.80	Professional		$67.26	$104.24	$161.80