Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.78 / $596.64 / $5,412.00	Facility		$46.78	$596.64	$5,412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $46.78 / $92.87	Professional		$28.80	$46.78	$92.87
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 $30.78 / $52.31 / $79.70	Professional		$30.78	$52.31	$79.70
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $46.31 / $78.45 / $119.57	Professional	50	$46.31	$78.45	$119.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $36.79 / $974.00	Professional		$36.79	$36.79	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $54.45 / $54.45	Facility		$54.45	$54.45	$54.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $52.24 / $86.26	Professional		$33.36	$52.24	$86.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.57 / $68.31 / $81.33	Professional		$60.57	$68.31	$81.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $47.11 / $70.17	Facility		$29.51	$47.11	$70.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $66.00 / $102.00	Professional		$58.00	$66.00	$102.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.85 / $40.76 / $1,098.00	Facility		$29.85	$40.76	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $66.22 / $1,098.00	Professional		$44.15	$66.22	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $780.00 / $2,364.00	Facility		$231.00	$780.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $52.69 / $94.64	Professional		$35.35	$52.69	$94.64