Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $420.72 / $8,294.00	Facility		$50.88	$420.72	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $52.01 / $91.87	Professional		$35.92	$52.01	$91.87
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 $37.79 / $48.34 / $69.95	Professional		$37.79	$48.34	$69.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $91.73 / $1,013.00	Professional		$47.04	$91.73	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $69.06	Facility		$69.06	$69.06	$69.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $61.54 / $122.54	Professional		$40.02	$61.54	$122.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $66.63 / $85.00	Professional		$56.64	$66.63	$85.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $59.50 / $101.31	Facility		$39.82	$59.50	$101.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $80.00 / $110.00	Professional		$72.00	$80.00	$110.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $51.83 / $1,380.00	Facility		$38.65	$51.83	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $76.54 / $1,380.00	Professional		$57.44	$76.54	$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 $42.29 / $57.50 / $95.44	Professional		$42.29	$57.50	$95.44