Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $58.34 / $96.56	Facility		$32.61	$58.34	$96.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $45.68 / $59.64	Professional		$31.67	$45.68	$59.64
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 $29.19 / $37.34 / $61.73	Professional		$29.19	$37.34	$61.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $36.92 / $822.00	Professional		$36.58	$36.92	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.23 / $53.23 / $53.23	Facility		$53.23	$53.23	$53.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $57.10 / $98.64	Professional		$33.42	$57.10	$98.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.32 / $68.25 / $80.61	Professional		$53.32	$68.25	$80.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.45 / $59.55 / $99.36	Facility		$36.45	$59.55	$99.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $75.00 / $99.00	Professional		$64.00	$75.00	$99.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.83 / $45.08 / $370.00	Facility		$31.83	$45.08	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $70.16 / $370.00	Professional		$50.30	$70.16	$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 $40.98 / $63.62 / $99.62	Professional		$40.98	$63.62	$99.62