Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.77 / $660.89 / $5,412.00	Facility		$90.77	$660.89	$5,412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $79.25 / $151.96	Professional		$51.47	$79.25	$151.96
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 $53.31 / $82.19 / $120.86	Professional		$53.31	$82.19	$120.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $61.82 / $974.00	Professional		$61.82	$61.82	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.69 / $93.69 / $93.69	Facility		$93.69	$93.69	$93.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $88.73 / $147.25	Professional		$59.48	$88.73	$147.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.73 / $101.09 / $120.35	Professional		$89.73	$101.09	$120.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.57 / $78.39 / $117.10	Facility		$51.57	$78.39	$117.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $116.00 / $162.00	Professional		$101.00	$116.00	$162.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.61 / $72.15 / $1,098.00	Facility		$53.61	$72.15	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $78.03 / $106.04 / $1,098.00	Professional		$78.03	$106.04	$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 $62.95 / $88.44 / $148.44	Professional		$62.95	$88.44	$148.44