Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.23 / $492.64 / $6,827.70	Facility		$110.23	$492.64	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $129.50 / $211.56	Professional		$74.70	$129.50	$211.56
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 $67.98 / $117.74 / $176.51	Professional		$67.98	$117.74	$176.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.44 / $124.47 / $974.00	Professional		$86.44	$124.47	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $129.00 / $231.02	Professional		$80.09	$129.00	$231.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $145.61 / $394.49	Professional		$121.34	$145.61	$394.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $137.27 / $223.92	Facility		$78.68	$137.27	$223.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $161.00 / $241.00	Professional		$140.00	$161.00	$241.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.68 / $97.97 / $805.00	Facility		$74.68	$97.97	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $124.04 / $156.43 / $805.00	Professional		$124.04	$156.43	$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 $99.79 / $160.06 / $265.77	Professional		$99.79	$160.06	$265.77