Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $3,019.95 / $7,244.36	Facility		$43.65	$3,019.95	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $125.89	Professional		$33.11	$48.98	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $83.18	Professional		$33.88	$48.98	$83.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $46.77 / $1,047.13	Professional		$31.62	$46.77	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $91.20	Professional		$34.67	$53.70	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $67.61	Professional		$45.71	$57.54	$67.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $102.33	Professional		$74.13	$93.33	$102.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $54.95 / $91.20	Facility		$34.67	$54.95	$91.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $46.77 / $1,174.90	Facility		$25.70	$46.77	$1,174.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $1,258.93	Professional		$40.74	$66.07	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,398.83	Facility		$229.09	$1,202.26	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $50.12 / $87.10	Professional		$29.51	$50.12	$87.10