Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $776.25 / $5,888.44	Facility		$123.03	$776.25	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $234.42 / $489.78	Professional		$85.11	$234.42	$489.78
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 $93.33 / $223.87 / $436.52	Professional		$93.33	$223.87	$436.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $1,737.80	Professional		$85.11	$102.33	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $616.60	Facility		$338.84	$512.86	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $218.78 / $446.68	Professional		$97.72	$218.78	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $575.44	Professional		$281.84	$346.74	$575.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $630.96	Professional		$269.15	$323.59	$630.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.88 / $446.68	Facility		$100.00	$239.88	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $512.86	Professional		$194.98	$194.98	$512.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $123.03 / $489.78	Facility		$87.10	$123.03	$489.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $954.99	Professional		$234.42	$316.23	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,818.38 / $5,754.40	Facility		$512.86	$2,818.38	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $186.21 / $389.05	Professional		$83.18	$186.21	$389.05