Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $562.34 / $6,165.95	Facility		$93.33	$562.34	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $199.53	Professional		$64.57	$97.72	$199.53
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 $75.86 / $109.65 / $158.49	Professional		$75.86	$109.65	$158.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $707.95 / $1,047.13	Professional		$83.18	$707.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $1,318.26	Facility		$128.82	$128.82	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $165.96	Professional		$74.13	$95.50	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $131.83	Professional		$83.18	$109.65	$131.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $109.65	Professional		$97.72	$97.72	$109.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $91.20 / $138.04	Facility		$67.61	$91.20	$138.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $97.72 / $4,073.80	Facility		$60.26	$97.72	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $4,073.80	Professional		$75.86	$117.49	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $154.88	Professional		$58.88	$85.11	$154.88