Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.55 / $255.26 / $8,920.00	Facility		$57.55	$255.26	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.05 / $86.76 / $138.44	Professional		$55.05	$86.76	$138.44
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 $50.71 / $75.12 / $112.83	Professional		$50.71	$75.12	$112.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $76.06 / $112.69 / $169.25	Professional	50	$76.06	$112.69	$169.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $85.55 / $974.00	Professional		$59.41	$85.55	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $96.56 / $185.91	Professional		$58.03	$96.56	$185.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.27 / $90.32 / $111.40	Professional		$75.27	$90.32	$111.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.55 / $94.02 / $182.16	Facility		$57.55	$94.02	$182.16
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $136.85 / $207.24 / $313.82	Facility	50	$136.85	$207.24	$313.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $146.00 / $241.00	Professional		$111.00	$146.00	$241.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.44 / $76.70 / $805.00	Facility		$56.44	$76.70	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $150.34 / $805.00	Professional		$81.31	$150.34	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $828.00 / $2,364.00	Facility		$206.00	$828.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.14 / $122.19 / $180.60	Professional		$70.14	$122.19	$180.60