Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $537.03 / $5,888.44	Facility		$91.20	$537.03	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $186.21	Professional		$51.29	$95.50	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $162.18	Professional		$56.23	$97.72	$162.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $1,659.59	Professional		$52.48	$60.26	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $83.18 / $616.60	Facility		$64.57	$83.18	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $204.17	Professional		$57.54	$104.71	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $234.42	Professional		$91.20	$114.82	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $239.88	Professional		$117.49	$144.54	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $104.71 / $181.97	Facility		$56.23	$104.71	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $229.09	Professional		$64.57	$64.57	$229.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $70.79 / $478.63	Facility		$53.70	$70.79	$478.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $489.78	Professional		$97.72	$125.89	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,862.09 / $3,890.45	Facility		$309.03	$1,862.09	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $91.20 / $165.96	Professional		$50.12	$91.20	$165.96