Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.63 / $97.54 / $332.81	Facility		$39.63	$97.54	$332.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $79.41 / $130.71	Professional		$31.51	$79.41	$130.71
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 $32.32 / $40.86 / $68.22	Professional		$32.32	$40.86	$68.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $38.53 / $822.00	Professional		$36.28	$38.53	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $58.82 / $640.00	Facility		$58.82	$58.82	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $90.34 / $190.28	Professional		$37.77	$90.34	$190.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.27 / $112.94 / $133.47	Professional		$87.27	$112.94	$133.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.63 / $97.54 / $186.22	Facility		$39.63	$97.54	$186.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $121.90 / $149.00 / $183.00	Professional		$121.90	$149.00	$183.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $34.44 / $47.01 / $446.60	Facility		$34.44	$47.01	$446.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $151.16 / $456.00	Professional		$100.78	$151.16	$456.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $140.01 / $224.44	Professional		$78.06	$140.01	$224.44