Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.53 / $94.00 / $225.33	Facility		$79.53	$94.00	$225.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $94.00 / $95.76	Professional		$75.31	$94.00	$95.76
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 $71.91 / $91.96 / $126.12	Professional		$71.91	$91.96	$126.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $134.65 / $974.00	Professional		$93.51	$134.65	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $110.60 / $197.70	Professional		$76.89	$110.60	$197.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $89.43 / $110.30	Professional		$74.53	$89.43	$110.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.53 / $109.57 / $153.57	Facility		$79.53	$109.57	$153.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $113.51 / $172.55	Professional		$101.00	$113.51	$172.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $108.65 / $819.00	Facility		$78.43	$108.65	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $108.65 / $819.00	Professional		$78.43	$108.65	$819.00
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 $68.56 / $113.60 / $170.04	Professional		$68.56	$113.60	$170.04