Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $39.32 / $2,180.90	Facility		$22.79	$39.32	$2,180.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $32.70 / $50.23	Professional		$19.98	$32.70	$50.23
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 $15.91 / $23.41 / $38.97	Professional		$15.91	$23.41	$38.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $24.67 / $822.00	Professional		$22.43	$24.67	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $33.75 / $33.75	Facility		$33.75	$33.75	$33.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $41.74 / $70.00	Professional		$22.43	$41.74	$70.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $36.17 / $42.35	Professional		$28.26	$36.17	$42.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $36.79 / $66.88	Facility		$22.53	$36.79	$66.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $57.00 / $73.83	Professional		$36.00	$57.00	$73.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $37.20 / $370.00	Facility		$21.20	$37.20	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $52.76 / $370.00	Professional		$31.44	$52.76	$370.00
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 $25.15 / $43.52 / $70.93	Professional		$25.15	$43.52	$70.93