Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $660.69 / $5,248.07	Facility		$144.54	$660.69	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $331.13	Professional		$89.13	$138.04	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $213.80	Professional		$100.00	$144.54	$213.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $707.95 / $1,047.13	Professional		$104.71	$707.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $162.18	Facility		$34.67	$34.67	$162.18
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	52	$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $234.42	Professional		$97.72	$138.04	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $186.21	Professional		$120.23	$158.49	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $177.83	Professional		$107.15	$107.15	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $125.89 / $194.98	Facility		$85.11	$125.89	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $125.89 / $4,073.80	Facility		$87.10	$125.89	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $4,073.80	Professional		$104.71	$173.78	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,511.89	Facility		$229.09	$1,202.26	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $213.80	Professional		$79.43	$123.03	$213.80