Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $223.87 / $2,691.53	Facility		$79.43	$223.87	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $177.83	Professional		$48.98	$87.10	$177.83
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 $48.98 / $75.86 / $128.82	Professional		$48.98	$75.86	$128.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $1,047.13	Professional		$45.71	$61.66	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $158.49	Professional		$51.29	$87.10	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $162.18	Professional		$107.15	$138.04	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $199.53	Professional		$93.33	$117.49	$199.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $89.13 / $151.36	Facility		$52.48	$89.13	$151.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $63.10 / $1,288.25	Facility		$43.65	$63.10	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $1,288.25	Professional		$70.79	$104.71	$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 $41.69 / $74.13 / $144.54	Professional		$41.69	$74.13	$144.54