Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $241.84 / $8,920.00	Facility		$53.26	$241.84	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $86.15 / $204.21	Professional		$39.31	$86.15	$204.21
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 $42.97 / $92.29 / $159.43	Professional		$42.97	$92.29	$159.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.83 / $49.90 / $974.00	Professional		$46.83	$49.90	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.48 / $76.48 / $76.48	Facility		$76.48	$76.48	$76.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.93 / $91.91 / $178.80	Professional		$45.93	$91.91	$178.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.25 / $134.32 / $159.90	Professional		$119.25	$134.32	$159.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $90.82 / $149.47	Facility		$42.84	$90.82	$149.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $143.00 / $216.00	Professional		$104.00	$143.00	$216.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.94 / $58.08 / $1,098.00	Facility		$39.94	$58.08	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $138.79 / $1,098.00	Professional		$80.42	$138.79	$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 $70.94 / $112.15 / $204.69	Professional		$70.94	$112.15	$204.69