Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.93 / $229.03 / $8,294.00	Facility		$59.93	$229.03	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $95.71 / $209.91	Professional		$48.01	$95.71	$209.91
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 $48.38 / $98.89 / $167.23	Professional		$48.38	$98.89	$167.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $56.19 / $974.00	Professional		$52.42	$56.19	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $87.18 / $87.18	Facility		$87.18	$87.18	$87.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.78 / $99.95 / $187.79	Professional		$51.78	$99.95	$187.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.46 / $141.13 / $168.01	Professional		$125.46	$141.13	$168.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $97.90 / $157.21	Facility		$48.80	$97.90	$157.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $151.00 / $227.00	Professional		$114.00	$151.00	$227.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.63 / $66.23 / $1,098.00	Facility		$46.63	$66.23	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $145.69 / $1,098.00	Professional		$84.66	$145.69	$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 $62.54 / $109.97 / $200.73	Professional		$62.54	$109.97	$200.73