Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $3,235.94 / $8,912.51	Facility		$61.66	$3,235.94	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $123.03 / $245.47	Professional		$57.54	$123.03	$245.47
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 $64.57 / $123.03 / $223.87	Professional		$64.57	$123.03	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $707.95 / $1,047.13	Professional		$64.57	$707.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $104.71	Facility		$34.67	$34.67	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $213.80	Professional		$61.66	$123.03	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $190.55	Professional		$120.23	$158.49	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $151.36	Professional		$128.82	$128.82	$151.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $117.49 / $190.55	Facility		$57.54	$117.49	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $87.10 / $4,073.80	Facility		$58.88	$87.10	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $4,073.80	Professional		$102.33	$177.83	$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 $56.23 / $104.71 / $218.78	Professional		$56.23	$104.71	$218.78