Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.25 / $1,686.75 / $6,423.41	Facility		$89.25	$1,686.75	$6,423.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $89.25 / $151.00	Professional		$50.03	$89.25	$151.00
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 $50.10 / $97.46 / $150.58	Professional		$50.10	$97.46	$150.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $78.72 / $916.00	Professional		$57.65	$78.72	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $94.49 / $172.29	Professional		$56.32	$94.49	$172.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.29 / $123.95 / $152.87	Professional		$103.29	$123.95	$152.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.83 / $95.80 / $160.50	Facility		$58.83	$95.80	$160.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $111.00 / $175.00	Professional		$90.00	$111.00	$175.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $71.33 / $819.00	Facility		$54.25	$71.33	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $121.06 / $819.00	Professional		$78.67	$121.06	$819.00
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $828.00 / $2,364.00	Facility		$206.00	$828.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.42 / $122.51 / $199.32	Professional		$74.42	$122.51	$199.32