Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $767.72 / $6,827.70	Facility		$59.90	$767.72	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $69.92 / $120.45	Professional		$50.84	$69.92	$120.45
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 $52.68 / $71.00 / $100.22	Professional		$52.68	$71.00	$100.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $63.08 / $974.00	Professional		$58.64	$63.08	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.23 / $91.23 / $91.23	Facility		$91.23	$91.23	$91.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $72.29 / $125.33	Professional		$53.33	$72.29	$125.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $80.16 / $95.43	Professional		$71.75	$80.16	$95.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.92 / $69.92 / $103.31	Facility		$50.92	$69.92	$103.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $99.00 / $141.19	Professional		$82.00	$99.00	$141.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $68.70 / $1,098.00	Facility		$48.31	$68.70	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $91.90 / $1,098.00	Professional		$59.91	$91.90	$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 $52.94 / $72.79 / $119.04	Professional		$52.94	$72.79	$119.04