Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $234.42 / $2,454.71	Facility		$72.44	$234.42	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $89.13 / $204.17	Professional		$42.66	$89.13	$204.17
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 $39.81 / $60.26 / $102.33	Professional		$39.81	$60.26	$102.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $1,047.13	Professional		$34.67	$50.12	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $87.10 / $147.91	Professional		$46.77	$87.10	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $144.54	Professional		$95.50	$120.23	$144.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $190.55	Professional		$107.15	$134.90	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $87.10 / $151.36	Facility		$45.71	$87.10	$151.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $67.61 / $1,288.25	Facility		$41.69	$67.61	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $1,288.25	Professional		$75.86	$109.65	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,148.15 / $2,398.83	Facility		$218.78	$1,148.15	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $75.86 / $141.25	Professional		$38.90	$75.86	$141.25