Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $50.63 / $86.03	Facility		$21.20	$50.63	$86.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $38.61 / $58.75	Professional		$25.08	$38.61	$58.75
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 $25.72 / $50.02 / $79.15	Professional		$25.72	$50.02	$79.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $50.52 / $974.00	Professional		$29.65	$50.52	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $54.28 / $101.78	Professional		$29.54	$54.28	$101.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $64.27 / $79.27	Professional		$53.56	$64.27	$79.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $53.56 / $92.65	Facility		$29.41	$53.56	$92.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $64.00 / $108.00	Professional		$56.00	$64.00	$108.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $38.49 / $805.00	Facility		$28.69	$38.49	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $49.84 / $72.78 / $805.00	Professional		$49.84	$72.78	$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 $43.96 / $73.98 / $110.79	Professional		$43.96	$73.98	$110.79