Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.68 / $86.13 / $200.62	Facility		$62.68	$86.13	$200.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $79.50 / $127.21	Professional		$55.81	$79.50	$127.21
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 $50.86 / $64.06 / $105.91	Professional		$50.86	$64.06	$105.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $75.14 / $96.09 / $158.86	Professional	50	$75.14	$96.09	$158.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $48.56 / $822.00	Professional		$47.06	$48.56	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.20 / $92.20 / $92.20	Facility		$92.20	$92.20	$92.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $91.54 / $149.36	Professional		$58.14	$91.54	$149.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $95.32 / $112.65	Professional		$74.20	$95.32	$112.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.68 / $93.79 / $140.71	Facility		$62.68	$93.79	$140.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $112.80 / $143.00	Professional		$97.00	$112.80	$143.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $54.21 / $78.84 / $370.00	Facility		$54.21	$78.84	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.87 / $106.12 / $370.00	Professional		$74.87	$106.12	$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 $62.02 / $100.00 / $148.97	Professional		$62.02	$100.00	$148.97