Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.79 / $819.50 / $7,930.81	Facility		$132.79	$819.50	$7,930.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $151.12 / $263.60	Professional		$94.79	$151.12	$263.60
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 $110.33 / $175.68 / $260.37	Professional		$110.33	$175.68	$260.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $132.57 / $183.14 / $974.00	Professional		$132.57	$183.14	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $171.24 / $309.20	Professional		$107.35	$171.24	$309.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $210.08 / $299.88	Professional		$175.07	$210.08	$299.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.73 / $163.55 / $251.68	Facility		$107.73	$163.55	$251.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $188.00 / $293.00	Professional		$150.00	$188.00	$293.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $98.59 / $132.49 / $805.00	Facility		$98.59	$132.49	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $132.49 / $197.49 / $805.00	Professional		$132.49	$197.49	$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 $127.63 / $187.32 / $350.72	Professional		$127.63	$187.32	$350.72