Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.09 / $102.09 / $266.45	Facility		$102.09	$102.09	$266.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $94.58 / $103.98	Professional		$69.92	$94.58	$103.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,106.21 / $1,418.44 / $1,791.25	Facility		$1,106.21	$1,418.44	$1,791.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $49.39 / $65.92	Professional		$49.39	$49.39	$65.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $67.17 / $100.54	Professional		$43.95	$67.17	$100.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.48 / $197.60 / $451.44	Facility		$5.48	$197.60	$451.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $60.26 / $147.47	Professional		$39.56	$60.26	$147.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $97.55 / $161.93	Professional		$80.53	$97.55	$161.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.62 / $102.09 / $162.32	Facility		$48.62	$102.09	$162.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $132.00 / $264.91	Professional		$109.00	$132.00	$264.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $100.00 / $225.88	Facility		$66.72	$100.00	$225.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $102.10 / $229.00	Professional		$66.72	$102.10	$229.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $54.24 / $79.48	Professional		$38.56	$54.24	$79.48