Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.69 / $484.50 / $6,827.70	Facility		$66.69	$484.50	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $93.06 / $180.66	Professional		$36.25	$93.06	$180.66
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 $35.65 / $80.09 / $138.36	Professional		$35.65	$80.09	$138.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $41.42 / $974.00	Professional		$38.72	$41.42	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.42 / $63.42 / $63.42	Facility		$63.42	$63.42	$63.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $95.63 / $165.66	Professional		$38.08	$95.63	$165.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.57 / $116.76 / $139.00	Professional		$103.57	$116.76	$139.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $87.04 / $143.40	Facility		$35.65	$87.04	$143.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.72 / $152.66 / $184.00	Professional		$87.72	$152.66	$184.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40.02 / $54.80 / $1,098.00	Facility		$40.02	$54.80	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $101.52 / $134.85 / $1,098.00	Professional		$101.52	$134.85	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $828.00 / $2,375.00	Facility		$380.00	$828.00	$2,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $111.51 / $182.04	Professional		$81.22	$111.51	$182.04