Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.23 / $119.90 / $210.89	Facility		$88.23	$119.90	$210.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $89.54 / $119.90	Professional		$67.34	$89.54	$119.90
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 $70.68 / $90.39 / $149.44	Professional		$70.68	$90.39	$149.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $67.25 / $794.00	Professional		$67.25	$67.25	$794.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.86 / $130.86 / $130.86	Facility		$130.86	$130.86	$130.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $112.50 / $207.01	Professional		$77.31	$112.50	$207.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.92 / $133.69 / $158.00	Professional		$103.92	$133.69	$158.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $119.51 / $188.35	Facility		$78.84	$119.51	$188.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $145.00 / $197.00	Professional		$115.00	$145.00	$197.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $68.17 / $97.11 / $499.02	Facility		$68.17	$97.11	$499.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $126.76 / $509.51	Professional		$88.16	$126.76	$509.51
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $819.00 / $2,364.00	Facility		$206.00	$819.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $122.28 / $208.83	Professional		$79.06	$122.28	$208.83