Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.67 / $159.77 / $6,827.70	Facility		$48.67	$159.77	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $82.73 / $169.81	Professional		$40.02	$82.73	$169.81
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 $39.52 / $81.34 / $165.19	Professional		$39.52	$81.34	$165.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $46.37 / $93.20	Professional		$46.37	$46.37	$93.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $69.44	Facility		$50.00	$50.00	$69.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $93.59 / $202.30	Professional		$42.65	$93.59	$202.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $136.13 / $194.69	Professional		$105.84	$136.13	$194.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.73 / $89.24 / $173.73	Facility		$45.73	$89.24	$173.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $121.00 / $210.70	Professional		$100.00	$121.00	$210.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $49.15 / $97.00	Facility		$39.57	$49.15	$97.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $84.90 / $120.41 / $256.45	Professional		$84.90	$120.41	$256.45
United Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $503.00 / $2,117.00	Facility		$85.00	$503.00	$2,117.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $111.34 / $189.60	Professional		$72.09	$111.34	$189.60