Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.55 / $523.33 / $4,771.00	Facility		$98.55	$523.33	$4,771.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $99.09 / $204.42	Professional		$48.48	$99.09	$204.42
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 $50.93 / $97.17 / $158.52	Professional		$50.93	$97.17	$158.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $45.54 / $974.00	Professional		$45.54	$45.54	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.89 / $91.89 / $91.89	Facility		$91.89	$91.89	$91.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $101.00 / $169.91	Professional		$54.16	$101.00	$169.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.76 / $133.58 / $159.03	Professional		$119.76	$133.58	$159.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.80 / $88.72 / $148.65	Facility		$50.80	$88.72	$148.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $138.00 / $203.00	Professional		$120.00	$138.00	$203.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.71 / $73.84 / $1,098.00	Facility		$52.71	$73.84	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $133.60 / $1,098.00	Professional		$93.03	$133.60	$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 $66.98 / $108.45 / $195.51	Professional		$66.98	$108.45	$195.51