Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $106.34 / $403.15	Facility		$75.84	$106.34	$403.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $98.27 / $165.89	Professional		$65.73	$98.27	$165.89
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 $63.31 / $80.95 / $133.85	Professional		$63.31	$80.95	$133.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $60.65 / $822.00	Professional		$60.65	$60.65	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.28 / $115.28 / $115.28	Facility		$115.28	$115.28	$115.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.55 / $103.87 / $184.55	Professional		$70.55	$103.87	$184.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $123.77 / $146.28	Professional		$95.64	$123.77	$146.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $106.34 / $170.43	Facility		$74.20	$106.34	$170.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $134.00 / $174.00	Professional		$119.00	$134.00	$174.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $62.98 / $87.33 / $440.92	Facility		$62.98	$87.33	$440.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $121.28 / $450.20	Professional		$87.87	$121.28	$450.20
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.26 / $114.00 / $184.61	Professional		$72.26	$114.00	$184.61