Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.56 / $716.13 / $5,743.00	Facility		$33.56	$716.13	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $42.67 / $85.30	Professional		$15.39	$42.67	$85.30
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 $14.64 / $37.72 / $98.04	Professional		$14.64	$37.72	$98.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $21.96 / $56.59 / $147.06	Professional	50	$21.96	$56.59	$147.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $974.00	Professional		$13.49	$13.49	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $26.64 / $26.64	Facility		$26.64	$26.64	$26.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $44.11 / $93.97	Professional		$15.41	$44.11	$93.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $83.39 / $98.89	Professional		$73.50	$83.39	$98.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $39.00 / $80.48	Facility		$15.39	$39.00	$80.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $68.00 / $115.00	Professional		$54.00	$68.00	$115.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $23.93 / $1,098.00	Facility		$16.39	$23.93	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $77.36 / $1,098.00	Professional		$43.88	$77.36	$1,098.00
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 $40.14 / $60.68 / $110.80	Professional		$40.14	$60.68	$110.80