Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $457.09 / $5,011.87	Facility		$52.48	$457.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $64.57 / $138.04	Professional		$36.31	$64.57	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $104.71	Professional		$38.02	$61.66	$104.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $54.95 / $1,047.13	Professional		$37.15	$54.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $102.33	Professional		$38.02	$60.26	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $75.86	Professional		$50.12	$64.57	$75.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $123.03	Professional		$69.18	$87.10	$123.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $58.88 / $97.72	Facility		$38.90	$58.88	$97.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $47.86 / $1,288.25	Facility		$33.11	$47.86	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $1,288.25	Professional		$48.98	$69.18	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,398.83	Facility		$229.09	$1,202.26	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $95.50	Professional		$31.62	$52.48	$95.50