Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.05 / $3,226.00 / $8,294.00	Facility		$77.05	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $80.22 / $117.45	Professional		$65.06	$80.22	$117.45
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 $61.77 / $78.98 / $130.59	Professional		$61.77	$78.98	$130.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $92.65 / $118.48 / $195.89	Professional	50	$92.65	$118.48	$195.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $81.22 / $822.00	Professional		$74.15	$81.22	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.70 / $115.70 / $115.70	Facility		$115.70	$115.70	$115.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $98.72 / $170.74	Professional		$70.37	$98.72	$170.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.51 / $112.01 / $130.75	Professional		$87.51	$112.01	$130.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.16 / $103.38 / $154.83	Facility		$76.16	$103.38	$154.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $123.00 / $162.00	Professional		$106.00	$123.00	$162.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.29 / $89.91 / $409.80	Facility		$66.29	$89.91	$409.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $113.76 / $418.42	Professional		$87.86	$113.76	$418.42
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 $66.68 / $108.57 / $165.27	Professional		$66.68	$108.57	$165.27