Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.75 / $80.95 / $556.66	Facility		$51.75	$80.95	$556.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $64.54 / $91.22	Professional		$40.21	$64.54	$91.22
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 $43.29 / $72.15 / $111.53	Professional		$43.29	$72.15	$111.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $38.33 / $974.00	Professional		$38.33	$38.33	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $78.34 / $78.34	Facility		$78.34	$78.34	$78.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.69 / $76.76 / $125.56	Professional		$45.69	$76.76	$125.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $93.78 / $111.64	Professional		$84.07	$93.78	$111.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.63 / $70.41 / $103.97	Facility		$43.63	$70.41	$103.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $96.19 / $141.10	Professional		$85.00	$96.19	$141.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.20 / $61.98 / $1,098.00	Facility		$45.20	$61.98	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $71.17 / $93.14 / $1,098.00	Professional		$71.17	$93.14	$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 $55.62 / $76.42 / $129.91	Professional		$55.62	$76.42	$129.91