Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.42 / $2,582.00 / $8,294.00	Facility		$62.42	$2,582.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $67.86 / $126.01	Professional		$46.85	$67.86	$126.01
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 $42.72 / $54.63 / $82.02	Professional		$42.72	$54.63	$82.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.81 / $81.94 / $123.03	Professional	50	$63.81	$81.94	$123.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $126.40 / $1,013.00	Professional		$51.74	$126.40	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.14 / $78.14 / $78.14	Facility		$78.14	$78.14	$78.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $81.42 / $132.09	Professional		$46.46	$81.42	$132.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $55.29 / $71.70	Professional		$47.00	$55.29	$71.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.45 / $77.84 / $114.70	Facility		$48.45	$77.84	$114.70
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $79.50 / $124.99 / $267.14	Facility	50	$79.50	$124.99	$267.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $122.00 / $138.00	Professional		$76.00	$122.00	$138.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $44.73 / $100.13 / $1,380.00	Facility		$44.73	$100.13	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $108.01 / $1,380.00	Professional		$51.43	$108.01	$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 $43.04 / $64.69 / $117.40	Professional		$43.04	$64.69	$117.40