Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.42 / $93.90 / $216.50	Facility		$54.42	$93.90	$216.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $70.79 / $113.45	Professional		$50.36	$70.79	$113.45
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 $49.07 / $81.93 / $122.83	Professional		$49.07	$81.93	$122.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $89.64 / $974.00	Professional		$62.25	$89.64	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.91 / $90.19 / $163.16	Professional		$52.91	$90.19	$163.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $100.64 / $226.80	Professional		$83.87	$100.64	$226.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.90 / $96.91 / $158.69	Facility		$56.90	$96.91	$158.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $116.54 / $172.55	Professional		$102.00	$116.54	$172.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $64.72 / $805.00	Facility		$48.76	$64.72	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $111.66 / $805.00	Professional		$77.69	$111.66	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $112.02 / $188.80	Professional		$65.69	$112.02	$188.80