Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.43 / $33.68 / $80.73	Facility		$28.43	$33.68	$80.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $33.68 / $34.33	Professional		$27.06	$33.68	$34.33
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 $25.81 / $33.01 / $45.27	Professional		$25.81	$33.01	$45.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $48.11 / $974.00	Professional		$33.40	$48.11	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $41.09 / $82.54	Professional		$27.69	$41.09	$82.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $31.65 / $39.03	Professional		$26.37	$31.65	$39.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.43 / $40.36 / $60.34	Facility		$28.43	$40.36	$60.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $41.00 / $61.20	Professional		$36.00	$41.00	$61.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.89 / $41.73 / $819.00	Facility		$29.89	$41.73	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $41.73 / $819.00	Professional		$29.89	$41.73	$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 $24.90 / $40.44 / $61.76	Professional		$24.90	$40.44	$61.76