Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $812.00 / $6,827.70	Facility		$131.69	$812.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $137.35 / $233.74	Professional		$35.60	$137.35	$233.74
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 $74.58 / $134.99 / $204.27	Professional		$74.58	$134.99	$204.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $131.44 / $974.00	Professional		$87.07	$131.44	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.01 / $151.12 / $263.45	Professional		$88.01	$151.12	$263.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.60 / $168.72 / $208.09	Professional		$140.60	$168.72	$208.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $147.86 / $241.89	Facility		$67.20	$147.86	$241.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $180.00 / $279.00	Professional		$155.00	$180.00	$279.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $81.45 / $107.28 / $805.00	Facility		$81.45	$107.28	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $137.49 / $194.14 / $805.00	Professional		$137.49	$194.14	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $203.26 / $297.02	Professional		$123.50	$203.26	$297.02