Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.05 / $660.89 / $4,162.00	Facility		$105.05	$660.89	$4,162.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $107.43 / $211.51	Professional		$57.37	$107.43	$211.51
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 $55.07 / $104.33 / $161.27	Professional		$55.07	$104.33	$161.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $54.70 / $974.00	Professional		$54.70	$54.70	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.75 / $99.75 / $99.75	Facility		$99.75	$99.75	$99.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $128.91 / $216.79	Professional		$58.93	$128.91	$216.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.72 / $136.31 / $162.28	Professional		$121.72	$136.31	$162.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.37 / $110.65 / $217.88	Facility		$57.37	$110.65	$217.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $162.32 / $258.00	Professional		$140.00	$162.32	$258.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $61.15 / $91.89 / $1,098.00	Facility		$61.15	$91.89	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.79 / $174.32 / $1,098.00	Professional		$117.79	$174.32	$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 $94.98 / $139.18 / $234.86	Professional		$94.98	$139.18	$234.86