Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $543.15 / $5,412.00	Facility		$55.36	$543.15	$5,412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $55.36 / $94.22	Professional		$36.96	$55.36	$94.22
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 $33.79 / $50.39 / $85.69	Professional		$33.79	$50.39	$85.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $41.75 / $822.00	Professional		$41.75	$41.75	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.88 / $61.88 / $420.00	Facility		$61.88	$61.88	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $59.81 / $103.89	Professional		$38.22	$59.81	$103.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.84 / $63.80 / $74.88	Professional		$49.84	$63.80	$74.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.76 / $61.52 / $91.28	Facility		$42.76	$61.52	$91.28
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $96.59 / $129.68 / $195.05	Facility	50	$96.59	$129.68	$195.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $77.00 / $103.00	Professional		$68.00	$77.00	$103.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $48.15 / $370.00	Facility		$34.61	$48.15	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $69.00 / $370.00	Professional		$50.66	$69.00	$370.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $62.47 / $103.37	Professional		$40.52	$62.47	$103.37