Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $1,938.00 / $8,294.00	Facility		$35.25	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $53.04 / $101.13	Professional		$28.35	$53.04	$101.13
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 $28.33 / $52.01 / $79.26	Professional		$28.33	$52.01	$79.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $35.53 / $974.00	Professional		$35.53	$35.53	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $49.85 / $49.85	Facility		$49.85	$49.85	$49.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $55.05 / $86.15	Professional		$29.68	$55.05	$86.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $67.20 / $80.01	Professional		$60.15	$67.20	$80.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.29 / $50.57 / $76.15	Facility		$28.29	$50.57	$76.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $79.00 / $110.00	Professional		$65.00	$79.00	$110.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.17 / $40.10 / $1,098.00	Facility		$29.17	$40.10	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $68.76 / $1,098.00	Professional		$49.44	$68.76	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $926.62 / $2,364.00	Facility		$296.00	$926.62	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $56.37 / $97.81	Professional		$41.87	$56.37	$97.81