Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.01 / $52.89 / $154.90	Facility		$45.01	$52.89	$154.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $52.89 / $53.76	Professional		$42.35	$52.89	$53.76
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 $40.86 / $52.27 / $71.68	Professional		$40.86	$52.27	$71.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $75.69 / $2,315.00	Professional		$52.56	$75.69	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $65.12 / $113.00	Professional		$43.99	$65.12	$113.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $50.33 / $62.07	Professional		$41.94	$50.33	$62.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.01 / $63.91 / $89.38	Facility		$45.01	$63.91	$89.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $64.38 / $97.75	Professional		$57.00	$64.38	$97.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.89 / $63.84 / $819.00	Facility		$46.89	$63.84	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $63.84 / $819.00	Professional		$46.89	$63.84	$819.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $61.31 / $97.40	Professional		$37.82	$61.31	$97.40