Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.58 / $929.57 / $5,042.39	Facility		$163.58	$929.57	$5,042.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $143.50 / $239.21	Professional		$80.31	$143.50	$239.21
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 $79.16 / $157.32 / $274.89	Professional		$79.16	$157.32	$274.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $88.34 / $296.11	Professional		$87.94	$88.34	$296.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.93 / $460.10 / $617.00	Facility		$133.93	$460.10	$617.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $168.36 / $336.04	Professional		$87.76	$168.36	$336.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.80 / $222.25 / $333.00	Professional		$177.80	$222.25	$333.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.48 / $168.62 / $305.76	Facility		$90.48	$168.62	$305.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $185.23 / $223.00 / $349.00	Professional		$185.23	$223.00	$349.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.41 / $107.59 / $188.65	Facility		$79.41	$107.59	$188.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.86 / $465.00	Professional		$169.82	$223.86	$465.00
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.50 / $205.56 / $333.74	Professional		$134.50	$205.56	$333.74