Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $3,633.00 / $8,294.00	Facility		$28.26	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $32.53 / $46.01	Professional		$22.16	$32.53	$46.01
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 $22.47 / $29.08 / $48.54	Professional		$22.47	$29.08	$48.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $26.63 / $822.00	Professional		$25.62	$26.63	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.73 / $41.73 / $572.00	Facility		$41.73	$41.73	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $39.29 / $68.95	Professional		$25.20	$39.29	$68.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $38.99 / $45.34	Professional		$30.46	$38.99	$45.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $42.85 / $66.06	Facility		$28.26	$42.85	$66.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $57.77 / $63.00	Professional		$47.00	$57.77	$63.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $32.72 / $108.29	Facility		$23.15	$32.72	$108.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $49.49 / $153.63	Professional		$30.74	$49.49	$153.63
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.33 / $70.03	Professional		$26.30	$43.33	$70.03