Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.07 / $812.00 / $6,827.70	Facility		$63.07	$812.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $105.64 / $179.58	Professional		$55.45	$105.64	$179.58
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 $53.68 / $92.25 / $138.29	Professional		$53.68	$92.25	$138.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $74.15 / $974.00	Professional		$56.94	$74.15	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $116.91 / $207.19	Professional		$67.31	$116.91	$207.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.61 / $114.73 / $141.50	Professional		$95.61	$114.73	$141.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.07 / $108.80 / $193.32	Facility		$63.07	$108.80	$193.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $174.83 / $252.45	Professional		$143.00	$174.83	$252.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $57.15 / $84.09 / $805.00	Facility		$57.15	$84.09	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $162.31 / $805.00	Professional		$97.45	$162.31	$805.00
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 $87.94 / $156.49 / $218.25	Professional		$87.94	$156.49	$218.25