Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $70.04 / $134.62	Facility		$49.72	$70.04	$134.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $58.97 / $70.04	Professional		$43.62	$58.97	$70.04
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 $41.18 / $52.66 / $87.06	Professional		$41.18	$52.66	$87.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $38.34 / $822.00	Professional		$38.34	$38.34	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.72 / $75.72 / $75.72	Facility		$75.72	$75.72	$75.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $70.36 / $119.44	Professional		$45.30	$70.36	$119.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $80.27 / $94.86	Professional		$62.50	$80.27	$94.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $70.04 / $113.49	Facility		$45.89	$70.04	$113.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $91.00 / $114.00	Professional		$80.00	$91.00	$114.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $57.82 / $370.00	Facility		$42.13	$57.82	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $81.43 / $370.00	Professional		$59.91	$81.43	$370.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $777.00 / $2,350.00	Facility		$231.00	$777.00	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $79.61 / $122.00	Professional		$49.63	$79.61	$122.00