Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $2,840.00 / $8,294.00	Facility		$27.47	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.47 / $32.44 / $48.71	Professional		$27.47	$32.44	$48.71
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 $29.50 / $37.11 / $52.39	Professional		$29.50	$37.11	$52.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $35.99 / $35.99	Professional		$32.39	$35.99	$35.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.30 / $54.30 / $54.30	Facility		$54.30	$54.30	$54.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $43.00 / $71.39	Professional		$31.39	$43.00	$71.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $41.78 / $53.68	Professional		$35.51	$41.78	$53.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $42.09 / $65.52	Facility		$30.83	$42.09	$65.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $66.23 / $75.43	Professional		$53.00	$66.23	$75.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $41.37 / $1,380.00	Facility		$31.67	$41.37	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.42 / $48.38 / $1,380.00	Professional		$37.42	$48.38	$1,380.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $39.72 / $67.68	Professional		$29.87	$39.72	$67.68