Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $467.74 / $5,754.40	Facility		$147.91	$467.74	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $398.11	Professional		$107.15	$204.17	$398.11
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 $117.49 / $204.17 / $346.74	Professional		$117.49	$204.17	$346.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $776.25	Professional		$109.65	$125.89	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $147.91 / $346.74	Facility		$131.83	$147.91	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $380.19	Professional		$109.65	$194.98	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $562.34	Professional		$218.78	$275.42	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $457.09	Professional		$194.98	$223.87	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $199.53 / $346.74	Facility		$109.65	$199.53	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $354.81	Professional		$95.50	$95.50	$354.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $131.83 / $467.74	Facility		$104.71	$131.83	$467.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $831.76	Professional		$173.78	$229.09	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $812.83 / $2,398.83	Facility		$109.65	$812.83	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $302.00	Professional		$93.33	$165.96	$302.00