Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.66 / $177.42 / $340.21	Facility		$115.66	$177.42	$340.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.13 / $145.13 / $177.42	Professional		$102.13	$145.13	$177.42
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 $95.57 / $122.22 / $202.06	Professional		$95.57	$122.22	$202.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.56 / $90.56 / $822.00	Professional		$90.56	$90.56	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.98 / $174.98 / $174.98	Facility		$174.98	$174.98	$174.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.23 / $169.69 / $289.08	Professional		$107.23	$169.69	$289.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.34 / $207.49 / $245.22	Professional		$160.34	$207.49	$245.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.66 / $177.42 / $282.52	Facility		$115.66	$177.42	$282.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $220.00 / $291.00	Professional		$193.00	$220.00	$291.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $98.51 / $131.66 / $736.32	Facility		$98.51	$131.66	$736.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $145.99 / $201.42 / $751.81	Professional		$145.99	$201.42	$751.81
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 $119.84 / $190.42 / $310.88	Professional		$119.84	$190.42	$310.88