Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $377.86 / $5,412.00	Facility		$67.16	$377.86	$5,412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $72.55 / $152.18	Professional		$34.97	$72.55	$152.18
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 $35.97 / $73.34 / $120.04	Professional		$35.97	$73.34	$120.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.95 / $110.13 / $180.06	Professional	50	$53.95	$110.13	$180.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $42.53 / $974.00	Professional		$39.67	$42.53	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.80 / $62.80 / $62.80	Facility		$62.80	$62.80	$62.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $75.51 / $128.88	Professional		$37.77	$75.51	$128.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $100.49 / $119.32	Professional		$88.68	$100.49	$119.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.94 / $68.84 / $113.40	Facility		$34.94	$68.84	$113.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $106.00 / $160.00	Professional		$92.00	$106.00	$160.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $46.34 / $1,098.00	Facility		$35.33	$46.34	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $105.11 / $1,098.00	Professional		$71.47	$105.11	$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 $59.82 / $86.43 / $154.96	Professional		$59.82	$86.43	$154.96