Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.90 / $110.17 / $209.11	Facility		$78.90	$110.17	$209.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $87.72 / $120.69	Professional		$66.72	$87.72	$120.69
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 $63.31 / $80.95 / $133.85	Professional		$63.31	$80.95	$133.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $60.50 / $822.00	Professional		$60.50	$60.50	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.71 / $116.71 / $116.71	Facility		$116.71	$116.71	$116.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.26 / $105.18 / $190.10	Professional		$70.26	$105.18	$190.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $124.21 / $146.80	Professional		$96.42	$124.21	$146.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.75 / $109.53 / $173.80	Facility		$70.75	$109.53	$173.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $135.00 / $182.00	Professional		$123.00	$135.00	$182.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.85 / $87.03 / $459.97	Facility		$63.85	$87.03	$459.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $88.17 / $123.52 / $469.64	Professional		$88.17	$123.52	$469.64
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 $73.70 / $117.78 / $185.08	Professional		$73.70	$117.78	$185.08