Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $213.80 / $7,079.46	Facility		$60.26	$213.80	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $107.15 / $229.09	Professional		$46.77	$107.15	$229.09
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 $52.48 / $102.33 / $194.98	Professional		$52.48	$102.33	$194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $707.95 / $1,047.13	Professional		$53.70	$707.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $87.10	Facility		$34.67	$34.67	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $102.33 / $186.21	Professional		$51.29	$102.33	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $165.96	Professional		$107.15	$141.25	$165.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $120.23	Professional		$104.71	$104.71	$120.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $95.50 / $162.18	Facility		$46.77	$95.50	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $70.79 / $4,073.80	Facility		$46.77	$70.79	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $4,073.80	Professional		$83.18	$151.36	$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 $43.65 / $83.18 / $181.97	Professional		$43.65	$83.18	$181.97