Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.59 / $69.33 / $133.22	Facility		$37.59	$69.33	$133.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $54.32 / $76.08	Professional		$31.17	$54.32	$76.08
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 $30.42 / $38.90 / $64.31	Professional		$30.42	$38.90	$64.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $38.79 / $822.00	Professional		$38.47	$38.79	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.58 / $56.58 / $56.58	Facility		$56.58	$56.58	$56.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $65.00 / $114.21	Professional		$34.82	$65.00	$114.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.69 / $82.42 / $97.41	Professional		$63.69	$82.42	$97.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $63.57 / $109.34	Facility		$35.61	$63.57	$109.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $90.00 / $115.00	Professional		$78.00	$90.00	$115.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.45 / $43.47 / $370.00	Facility		$31.45	$43.47	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $79.45 / $370.00	Professional		$56.32	$79.45	$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 $47.67 / $75.16 / $121.53	Professional		$47.67	$75.16	$121.53