Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.28 / $605.63 / $6,646.01	Facility		$127.28	$605.63	$6,646.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $127.28 / $236.15	Professional		$109.30	$127.28	$236.15
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 $122.71 / $160.53 / $228.91	Professional		$122.71	$160.53	$228.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.35 / $193.31 / $974.00	Professional		$150.35	$193.31	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.54 / $157.02 / $317.24	Professional		$118.54	$157.02	$317.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.28 / $165.94 / $318.36	Professional		$138.28	$165.94	$318.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.10 / $156.19 / $225.45	Facility		$126.10	$156.19	$225.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $154.00 / $263.00	Professional		$135.00	$154.00	$263.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $115.48 / $149.94 / $805.00	Facility		$115.48	$149.94	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $166.36 / $805.00	Professional		$119.00	$166.36	$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 $105.30 / $157.69 / $277.74	Professional		$105.30	$157.69	$277.74