Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $1,912.00 / $8,294.00	Facility		$33.46	$1,912.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $58.67 / $94.34	Professional		$27.37	$58.67	$94.34
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 $27.06 / $69.70 / $124.15	Professional		$27.06	$69.70	$124.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.59 / $104.57 / $186.23	Professional	50	$40.59	$104.57	$186.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $23.96 / $974.00	Professional		$23.96	$23.96	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $48.69 / $48.69	Facility		$48.69	$48.69	$48.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $69.97 / $125.65	Professional		$27.95	$69.97	$125.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $104.67 / $124.61	Professional		$93.23	$104.67	$124.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $61.23 / $105.55	Facility		$27.53	$61.23	$105.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $92.00 / $150.00	Professional		$81.00	$92.00	$150.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.36 / $42.82 / $1,098.00	Facility		$30.36	$42.82	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.38 / $1,098.00	Professional		$61.66	$100.38	$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 $57.87 / $79.36 / $143.85	Professional		$57.87	$79.36	$143.85