Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $92.32 / $180.83	Facility		$49.98	$92.32	$180.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $70.48 / $94.15	Professional		$42.31	$70.48	$94.15
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 $40.25 / $51.48 / $85.11	Professional		$40.25	$51.48	$85.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $37.39 / $822.00	Professional		$37.39	$37.39	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $74.72 / $74.72	Facility		$74.72	$74.72	$74.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $85.23 / $153.01	Professional		$45.25	$85.23	$153.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.19 / $111.54 / $131.82	Professional		$86.19	$111.54	$131.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $84.97 / $150.25	Facility		$44.93	$84.97	$150.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $113.00 / $154.00	Professional		$101.00	$113.00	$154.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.52 / $56.87 / $388.74	Facility		$41.52	$56.87	$388.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $106.94 / $396.92	Professional		$77.01	$106.94	$396.92
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 $62.77 / $99.41 / $157.69	Professional		$62.77	$99.41	$157.69