Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.58 / $290.01 / $5,743.00	Facility		$44.58	$290.01	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $44.70 / $77.62	Professional		$24.93	$44.70	$77.62
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 $25.03 / $41.18 / $62.33	Professional		$25.03	$41.18	$62.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $44.64 / $974.00	Professional		$29.24	$44.64	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $52.58 / $101.02	Professional		$28.99	$52.58	$101.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $50.23 / $61.95	Professional		$41.86	$50.23	$61.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.35 / $48.44 / $91.06	Facility		$25.35	$48.44	$91.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $71.00 / $110.00	Professional		$59.00	$71.00	$110.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.45 / $36.64 / $805.00	Facility		$27.45	$36.64	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $70.95 / $805.00	Professional		$51.64	$70.95	$805.00
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 $39.95 / $68.31 / $108.75	Professional		$39.95	$68.31	$108.75