Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.48 / $84.63 / $202.77	Facility		$72.48	$84.63	$202.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $84.63 / $86.81	Professional		$68.43	$84.63	$86.81
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 $65.15 / $83.32 / $114.27	Professional		$65.15	$83.32	$114.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $122.20 / $3,026.00	Professional		$84.86	$122.20	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $100.09 / $179.56	Professional		$70.33	$100.09	$179.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $81.31 / $100.28	Professional		$67.76	$81.31	$100.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.48 / $101.94 / $138.26	Facility		$72.48	$101.94	$138.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $103.02 / $155.55	Professional		$91.00	$103.02	$155.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.72 / $98.50 / $819.00	Facility		$72.72	$98.50	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $98.50 / $819.00	Professional		$72.72	$98.50	$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 $60.06 / $102.67 / $154.51	Professional		$60.06	$102.67	$154.51