Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.19 / $377.10 / $5,048.00	Facility		$49.19	$377.10	$5,048.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $75.33 / $158.80	Professional		$25.58	$75.33	$158.80
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 $33.42 / $68.75 / $138.82	Professional		$33.42	$68.75	$138.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $30.47 / $182.15	Professional		$30.47	$30.47	$182.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.59 / $57.59 / $57.59	Facility		$57.59	$57.59	$57.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $66.56 / $117.79	Professional		$23.06	$66.56	$117.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.78 / $117.47 / $139.85	Professional		$104.78	$117.47	$139.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.77 / $63.40 / $121.16	Facility		$26.77	$63.40	$121.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $96.00 / $177.00	Professional		$68.00	$96.00	$177.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $50.12 / $988.00	Facility		$26.31	$50.12	$988.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $121.96 / $988.00	Professional		$63.82	$121.96	$988.00
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 $50.45 / $84.06 / $116.08	Professional		$50.45	$84.06	$116.08