Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.88 / $767.72 / $6,827.70	Facility		$92.88	$767.72	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $93.63 / $164.79	Professional		$65.56	$93.63	$164.79
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 $73.30 / $96.85 / $137.34	Professional		$73.30	$96.85	$137.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $87.90 / $974.00	Professional		$80.97	$87.90	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.79 / $127.79 / $127.79	Facility		$127.79	$127.79	$127.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $95.40 / $169.89	Professional		$74.72	$95.40	$169.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.56 / $109.13 / $129.91	Professional		$97.56	$109.13	$129.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.90 / $93.61 / $128.72	Facility		$69.90	$93.61	$128.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $119.00 / $181.13	Professional		$103.00	$119.00	$181.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.65 / $90.88 / $1,098.00	Facility		$66.65	$90.88	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.72 / $108.76 / $1,098.00	Professional		$77.72	$108.76	$1,098.00
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 $62.37 / $87.32 / $161.56	Professional		$62.37	$87.32	$161.56