Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $96.18 / $493.26	Facility		$69.20	$96.18	$493.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $90.64 / $150.04	Professional		$61.44	$90.64	$150.04
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 $58.08 / $74.28 / $122.80	Professional		$58.08	$74.28	$122.80
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.03 / $111.42 / $184.21	Professional	50	$87.03	$111.42	$184.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $54.64 / $822.00	Professional		$54.64	$54.64	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.72 / $106.72 / $106.72	Facility		$106.72	$106.72	$106.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $95.33 / $166.53	Professional		$64.79	$95.33	$166.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $112.81 / $133.32	Professional		$87.17	$112.81	$133.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.98 / $96.18 / $154.49	Facility		$65.98	$96.18	$154.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $122.00 / $157.00	Professional		$108.00	$122.00	$157.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $79.84 / $397.07	Facility		$56.88	$79.84	$397.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $110.66 / $405.42	Professional		$79.25	$110.66	$405.42
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $780.00 / $2,350.00	Facility		$231.00	$780.00	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $106.07 / $165.53	Professional		$66.29	$106.07	$165.53