Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.04 / $233.10 / $2,469.00	Facility		$83.04	$233.10	$2,469.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $83.04 / $140.78	Professional		$50.68	$83.04	$140.78
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 $37.58 / $49.13 / $81.22	Professional		$37.58	$49.13	$81.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $39.13 / $822.00	Professional		$35.57	$39.13	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $71.45 / $71.45	Facility		$71.45	$71.45	$71.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $87.40 / $148.18	Professional		$49.53	$87.40	$148.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $105.02 / $124.11	Professional		$81.15	$105.02	$124.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $88.80 / $146.08	Facility		$49.98	$88.80	$146.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $119.00 / $149.00	Professional		$104.00	$119.00	$149.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.12 / $67.19 / $377.48	Facility		$43.12	$67.19	$377.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $107.61 / $385.42	Professional		$79.42	$107.61	$385.42
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $819.00 / $2,364.00	Facility		$206.00	$819.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $99.50 / $158.80	Professional		$62.71	$99.50	$158.80