Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.86 / $591.97 / $5,743.00	Facility		$107.86	$591.97	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $127.99 / $239.94	Professional		$71.90	$127.99	$239.94
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 $70.03 / $120.55 / $183.71	Professional		$70.03	$120.55	$183.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $64.83 / $974.00	Professional		$64.83	$64.83	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.45 / $125.45 / $125.45	Facility		$125.45	$125.45	$125.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $139.53 / $236.44	Professional		$72.73	$139.53	$236.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.34 / $154.71 / $184.18	Professional		$138.34	$154.71	$184.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.87 / $127.50 / $233.62	Facility		$71.87	$127.50	$233.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $182.00 / $277.00	Professional		$157.00	$182.00	$277.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $76.50 / $110.89 / $1,098.00	Facility		$76.50	$110.89	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $132.18 / $191.45 / $1,098.00	Professional		$132.18	$191.45	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $926.62 / $2,364.00	Facility		$296.00	$926.62	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $154.21 / $258.39	Professional		$106.54	$154.21	$258.39