Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.11 / $137.11 / $255.57	Facility		$94.11	$137.11	$255.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $109.60 / $137.11	Professional		$81.39	$109.60	$137.11
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 $75.59 / $96.68 / $159.84	Professional		$75.59	$96.68	$159.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.02 / $95.94 / $822.00	Professional		$88.02	$95.94	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.37 / $140.37 / $140.37	Facility		$140.37	$140.37	$140.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.77 / $130.83 / $229.69	Professional		$85.77	$130.83	$229.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.29 / $155.34 / $183.59	Professional		$120.29	$155.34	$183.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $135.00 / $216.71	Facility		$85.00	$135.00	$216.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $168.00 / $224.00	Professional		$151.00	$168.00	$224.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.95 / $105.40 / $567.73	Facility		$77.95	$105.40	$567.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $150.38 / $579.66	Professional		$108.27	$150.38	$579.66
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 $92.90 / $148.85 / $233.96	Professional		$92.90	$148.85	$233.96