Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.54 / $276.60 / $8,294.00	Facility		$58.54	$276.60	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $65.95 / $114.05	Professional		$44.94	$65.95	$114.05
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 $45.79 / $58.56 / $84.75	Professional		$45.79	$58.56	$84.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $68.69 / $87.84 / $121.97	Professional	50	$68.69	$87.84	$121.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $111.66 / $1,013.00	Professional		$57.26	$111.66	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.48 / $83.48 / $83.48	Facility		$83.48	$83.48	$83.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $73.39 / $128.57	Professional		$50.25	$73.39	$128.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $74.19 / $95.45	Professional		$63.06	$74.19	$95.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.64 / $72.30 / $118.95	Facility		$48.64	$72.30	$118.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $98.66 / $125.00	Professional		$82.00	$98.66	$125.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $48.12 / $66.94 / $1,380.00	Facility		$48.12	$66.94	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $86.82 / $1,380.00	Professional		$64.48	$86.82	$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 $51.86 / $66.34 / $112.70	Professional		$51.86	$66.34	$112.70