Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.57 / $48.19 / $115.50	Facility		$40.57	$48.19	$115.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $48.19 / $49.07	Professional		$38.60	$48.19	$49.07
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 $36.86 / $47.16 / $64.67	Professional		$36.86	$47.16	$64.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $69.20 / $2,315.00	Professional		$48.06	$69.20	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $58.77 / $103.46	Professional		$39.97	$58.77	$103.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $45.78 / $56.46	Professional		$38.15	$45.78	$56.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.57 / $57.61 / $81.44	Facility		$40.57	$57.61	$81.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $59.00 / $89.25	Professional		$52.00	$59.00	$89.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.93 / $58.10 / $819.00	Facility		$42.93	$58.10	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $58.10 / $819.00	Professional		$42.93	$58.10	$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 $36.01 / $58.24 / $89.31	Professional		$36.01	$58.24	$89.31