Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $691.83 / $6,918.31	Facility		$53.70	$691.83	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $165.96	Professional		$41.69	$75.86	$165.96
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 $42.66 / $70.79 / $120.23	Professional		$42.66	$70.79	$120.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $1,047.13	Professional		$38.02	$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 $42.66 / $67.61 / $117.49	Professional		$42.66	$67.61	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $87.10	Professional		$58.88	$74.13	$87.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $141.25	Professional		$77.62	$97.72	$141.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $67.61 / $114.82	Facility		$43.65	$67.61	$114.82
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 $37.15 / $53.70 / $1,288.25	Facility		$37.15	$53.70	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $1,288.25	Professional		$54.95	$79.43	$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 $34.67 / $58.88 / $107.15	Professional		$34.67	$58.88	$107.15