Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $159.60 / $836.13	Facility		$42.58	$159.60	$836.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $80.37 / $118.21	Professional		$37.06	$80.37	$118.21
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 $25.94 / $32.33 / $45.46	Professional		$25.94	$32.33	$45.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $38.50 / $44.27	Professional		$38.50	$38.50	$44.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.45 / $95.45 / $95.45	Facility		$95.45	$95.45	$95.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $62.73 / $150.94	Professional		$23.14	$62.73	$150.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $97.47 / $116.04	Professional		$87.31	$97.47	$116.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.58 / $53.25 / $95.25	Facility		$29.58	$53.25	$95.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $150.00 / $200.76	Professional		$82.44	$150.00	$200.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.37 / $86.77 / $195.21	Facility		$29.37	$86.77	$195.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $86.77 / $195.21	Professional		$29.37	$86.77	$195.21
United Facility/Professional Professional Modifier Low / Median / High Price $30.11 / $67.84 / $99.02	Professional		$30.11	$67.84	$99.02