Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.01 / $3,226.00 / $8,920.00	Facility		$44.01	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $70.77 / $186.37	Professional		$32.68	$70.77	$186.37
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 $35.33 / $83.81 / $144.78	Professional		$35.33	$83.81	$144.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $52.99 / $125.72 / $217.17	Professional	50	$52.99	$125.72	$217.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $40.39 / $974.00	Professional		$38.72	$40.39	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Facility		$63.92	$63.92	$63.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $77.23 / $159.84	Professional		$37.54	$77.23	$159.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.56 / $121.79 / $144.99	Professional		$108.56	$121.79	$144.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.45 / $73.26 / $134.24	Facility		$36.45	$73.26	$134.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $124.00 / $196.00	Professional		$85.00	$124.00	$196.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.82 / $49.11 / $1,098.00	Facility		$31.82	$49.11	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $126.18 / $1,098.00	Professional		$71.63	$126.18	$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 $59.63 / $99.02 / $186.08	Professional		$59.63	$99.02	$186.08