Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.13 / $137.18 / $258.19	Facility		$105.13	$137.18	$258.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.74 / $116.57 / $143.38	Professional		$90.74	$116.57	$143.38
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 $84.78 / $110.83 / $183.23	Professional		$84.78	$110.83	$183.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.09 / $82.09 / $794.00	Professional		$82.09	$82.09	$794.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.97 / $159.97 / $159.97	Facility		$159.97	$159.97	$159.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.19 / $135.60 / $241.61	Professional		$94.19	$135.60	$241.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.62 / $157.19 / $185.77	Professional		$121.62	$157.19	$185.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.12 / $137.18 / $222.34	Facility		$97.12	$137.18	$222.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $164.00 / $226.00	Professional		$148.00	$164.00	$226.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.79 / $117.16 / $572.58	Facility		$83.79	$117.16	$572.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $108.95 / $152.53 / $584.62	Professional		$108.95	$152.53	$584.62
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $780.00 / $2,350.00	Facility		$231.00	$780.00	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $144.50 / $237.42	Professional		$88.44	$144.50	$237.42