Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.46 / $67.39 / $137.72	Facility		$39.46	$67.39	$137.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $67.39 / $113.06	Professional		$39.46	$67.39	$113.06
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 $46.52 / $73.48 / $111.72	Professional		$46.52	$73.48	$111.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.33 / $84.23 / $974.00	Professional		$54.33	$84.23	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $79.04 / $140.83	Professional		$52.04	$79.04	$140.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.19 / $87.83 / $108.32	Professional		$73.19	$87.83	$108.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.71 / $76.63 / $125.84	Facility		$53.71	$76.63	$125.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $101.00 / $144.00	Professional		$75.00	$101.00	$144.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $64.77 / $805.00	Facility		$48.66	$64.77	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.17 / $98.44 / $805.00	Professional		$67.17	$98.44	$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 $58.21 / $99.49 / $153.68	Professional		$58.21	$99.49	$153.68