Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.65 / $1,658.33 / $6,114.73	Facility		$103.65	$1,658.33	$6,114.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $100.19 / $173.16	Professional		$65.34	$100.19	$173.16
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 $65.33 / $103.91 / $154.00	Professional		$65.33	$103.91	$154.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $119.13 / $974.00	Professional		$76.31	$119.13	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $115.31 / $192.39	Professional		$73.62	$115.31	$192.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.58 / $124.30 / $153.30	Professional		$103.58	$124.30	$153.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.90 / $108.59 / $173.12	Facility		$74.90	$108.59	$173.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $142.00 / $206.00	Professional		$117.00	$142.00	$206.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $68.52 / $91.36 / $805.00	Facility		$68.52	$91.36	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $130.49 / $805.00	Professional		$101.92	$130.49	$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 $83.10 / $133.56 / $212.19	Professional		$83.10	$133.56	$212.19