Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.43 / $3,226.00 / $8,920.00	Facility		$58.43	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.31 / $94.58 / $216.18	Professional		$47.31	$94.58	$216.18
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 $46.16 / $97.60 / $168.59	Professional		$46.16	$97.60	$168.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $69.23 / $146.40 / $252.89	Professional	50	$69.23	$146.40	$252.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $53.15 / $974.00	Professional		$50.16	$53.15	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.89 / $82.89 / $82.89	Facility		$82.89	$82.89	$82.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.99 / $102.36 / $190.16	Professional		$48.99	$102.36	$190.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.36 / $141.69 / $168.68	Professional		$126.36	$141.69	$168.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.13 / $103.32 / $161.93	Facility		$48.13	$103.32	$161.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $154.00 / $229.00	Professional		$114.00	$154.00	$229.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.97 / $69.12 / $1,098.00	Facility		$45.97	$69.12	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $147.71 / $1,098.00	Professional		$90.18	$147.71	$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 $81.38 / $118.76 / $217.85	Professional		$81.38	$118.76	$217.85