Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.02 / $3,633.00 / $8,920.00	Facility		$37.02	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $48.46 / $111.70	Professional		$36.72	$48.46	$111.70
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 $32.57 / $41.66 / $60.68	Professional		$32.57	$41.66	$60.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $48.86 / $62.49 / $91.02	Professional	50	$48.86	$62.49	$91.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $84.26 / $1,013.00	Professional		$39.29	$84.26	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.39 / $60.39 / $60.39	Facility		$60.39	$60.39	$60.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $58.14 / $93.23	Professional		$35.08	$58.14	$93.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $41.27 / $53.90	Professional		$35.08	$41.27	$53.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.42 / $56.62 / $88.54	Facility		$36.42	$56.62	$88.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $89.00 / $99.00	Professional		$66.90	$89.00	$99.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $60.97 / $1,380.00	Facility		$37.29	$60.97	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $78.81 / $1,380.00	Professional		$43.52	$78.81	$1,380.00
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 $34.81 / $52.93 / $97.97	Professional		$34.81	$52.93	$97.97