Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $97.72 / $128.82	Facility		$33.88	$97.72	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $79.43 / $177.83	Professional		$32.36	$79.43	$177.83
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 $33.11 / $50.12 / $85.11	Professional		$33.11	$50.12	$85.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $48.98 / $1,047.13	Professional		$31.62	$48.98	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $91.20 / $186.21	Professional		$38.02	$91.20	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $144.54	Professional		$95.50	$123.03	$144.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $87.10 / $181.97	Facility		$34.67	$87.10	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $46.77 / $1,288.25	Facility		$33.11	$46.77	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $1,288.25	Professional		$97.72	$151.36	$1,288.25
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 $30.90 / $72.44 / $194.98	Professional		$30.90	$72.44	$194.98