Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.24 / $48.66 / $90.67	Facility		$32.24	$48.66	$90.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $40.90 / $48.66	Professional		$27.63	$40.90	$48.66
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 $26.20 / $33.01 / $54.57	Professional		$26.20	$33.01	$54.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $26.06 / $822.00	Professional		$23.69	$26.06	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.58 / $47.58 / $47.58	Facility		$47.58	$47.58	$47.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $49.42 / $79.56	Professional		$30.23	$49.42	$79.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $53.82 / $62.89	Professional		$42.05	$53.82	$62.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $48.66 / $79.50	Facility		$30.42	$48.66	$79.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $64.26 / $80.00	Professional		$55.00	$64.26	$80.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.61 / $40.06 / $370.00	Facility		$27.61	$40.06	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $59.60 / $370.00	Professional		$42.14	$59.60	$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 $35.22 / $56.00 / $87.24	Professional		$35.22	$56.00	$87.24