Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.52 / $172.61 / $847.58	Facility		$66.52	$172.61	$847.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $84.35 / $138.35	Professional		$58.60	$84.35	$138.35
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 $54.39 / $69.56 / $115.00	Professional		$54.39	$69.56	$115.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $51.32 / $822.00	Professional		$50.94	$51.32	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.56 / $99.56 / $99.56	Facility		$99.56	$99.56	$99.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $91.40 / $157.09	Professional		$61.78	$91.40	$157.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.08 / $102.08 / $120.64	Professional		$79.08	$102.08	$120.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.31 / $92.00 / $143.77	Facility		$64.31	$92.00	$143.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $116.00 / $146.00	Professional		$102.00	$116.00	$146.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.48 / $79.11 / $370.00	Facility		$56.48	$79.11	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $106.35 / $377.19	Professional		$78.70	$106.35	$377.19
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 $64.12 / $100.89 / $154.97	Professional		$64.12	$100.89	$154.97