Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.56 / $182.97 / $8,294.00	Facility		$39.56	$182.97	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $68.95 / $166.05	Professional		$29.42	$68.95	$166.05
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 $32.14 / $80.09 / $138.36	Professional		$32.14	$80.09	$138.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $37.32 / $974.00	Professional		$35.22	$37.32	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $57.24 / $57.24	Facility		$57.24	$57.24	$57.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $73.95 / $153.94	Professional		$32.90	$73.95	$153.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.18 / $116.63 / $138.82	Professional		$103.18	$116.63	$138.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.04 / $72.39 / $128.69	Facility		$32.04	$72.39	$128.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $123.00 / $188.00	Professional		$80.00	$123.00	$188.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.55 / $42.13 / $1,098.00	Facility		$28.55	$42.13	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $119.84 / $1,098.00	Professional		$68.95	$119.84	$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 $57.18 / $91.16 / $175.86	Professional		$57.18	$91.16	$175.86