Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $812.83 / $5,888.44	Facility		$134.90	$812.83	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $229.09	Professional		$70.79	$114.82	$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 $87.10 / $134.90 / $208.93	Professional		$87.10	$134.90	$208.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,737.80 / $2,754.23	Professional		$87.10	$1,737.80	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $1,318.26	Facility		$141.25	$141.25	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $204.17	Professional		$83.18	$125.89	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $181.97	Professional		$117.49	$154.88	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $169.82	Professional		$151.36	$151.36	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $114.82 / $186.21	Facility		$75.86	$114.82	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $107.15 / $3,311.31	Facility		$67.61	$107.15	$3,311.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $3,311.31	Professional		$107.15	$165.96	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $3,981.07	Facility		$1,096.48	$2,137.96	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $112.20 / $199.53	Professional		$66.07	$112.20	$199.53