Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.02 / $668.64 / $4,032.00	Facility		$99.02	$668.64	$4,032.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $86.59 / $186.97	Professional		$44.64	$86.59	$186.97
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 $42.65 / $84.96 / $130.11	Professional		$42.65	$84.96	$130.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.39 / $39.39 / $974.00	Professional		$39.39	$39.39	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.43 / $76.43 / $76.43	Facility		$76.43	$76.43	$76.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $96.57 / $183.69	Professional		$44.57	$96.57	$183.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $110.19 / $131.18	Professional		$97.97	$110.19	$131.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.25 / $88.11 / $181.12	Facility		$44.25	$88.11	$181.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $129.00 / $215.00	Professional		$109.00	$129.00	$215.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.29 / $68.06 / $1,098.00	Facility		$46.29	$68.06	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $93.42 / $140.49 / $1,098.00	Professional		$93.42	$140.49	$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 $74.48 / $115.42 / $200.46	Professional		$74.48	$115.42	$200.46