Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $393.51 / $5,743.00	Facility		$45.77	$393.51	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $50.90 / $107.97	Professional		$21.32	$50.90	$107.97
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 $20.69 / $53.31 / $113.61	Professional		$20.69	$53.31	$113.61
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $31.04 / $79.97 / $170.42	Professional	50	$31.04	$79.97	$170.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $18.55 / $974.00	Professional		$18.55	$18.55	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $38.20 / $38.20	Facility		$38.20	$38.20	$38.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $56.70 / $111.48	Professional		$22.00	$56.70	$111.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $96.45 / $114.83	Professional		$85.43	$96.45	$114.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $50.00 / $95.63	Facility		$21.32	$50.00	$95.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $82.00 / $136.00	Professional		$69.00	$82.00	$136.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.18 / $33.19 / $1,098.00	Facility		$23.18	$33.19	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $91.75 / $1,098.00	Professional		$54.36	$91.75	$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 $48.82 / $71.62 / $134.34	Professional		$48.82	$71.62	$134.34