Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.93 / $1,005.00 / $8,294.00	Facility		$37.93	$1,005.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $95.98 / $186.37	Professional		$29.82	$95.98	$186.37
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 $29.90 / $107.95 / $206.39	Professional		$29.90	$107.95	$206.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $33.84 / $697.00	Professional		$33.84	$33.84	$697.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $51.10	Facility		$51.10	$51.10	$51.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $78.31 / $274.72	Professional		$32.17	$78.31	$274.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.76 / $154.51 / $189.35	Professional		$128.76	$154.51	$189.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $151.47 / $279.02	Facility		$34.97	$151.47	$279.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $238.00 / $319.00	Professional		$201.00	$238.00	$319.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.77 / $42.83 / $152.32	Facility		$31.77	$42.83	$152.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $159.75 / $211.89 / $360.74	Professional		$159.75	$211.89	$360.74
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $215.81 / $332.64	Professional		$132.44	$215.81	$332.64