Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.40 / $786.87 / $5,743.00	Facility		$182.40	$786.87	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $186.35 / $379.56	Professional		$97.09	$186.35	$379.56
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 $101.22 / $206.61 / $345.44	Professional		$101.22	$206.61	$345.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.91 / $99.91 / $974.00	Professional		$99.91	$99.91	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.87 / $175.87 / $175.87	Facility		$175.87	$175.87	$175.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.08 / $193.08 / $348.89	Professional		$108.08	$193.08	$348.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.19 / $292.61 / $346.04	Professional		$257.19	$292.61	$346.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.09 / $173.89 / $284.25	Facility		$97.09	$173.89	$284.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $242.00 / $392.61	Professional		$221.00	$242.00	$392.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $99.65 / $127.93 / $2,220.13	Facility		$99.65	$127.93	$2,220.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $265.02 / $2,220.13	Professional		$163.34	$265.02	$2,220.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.52 / $205.41 / $351.51	Professional		$135.52	$205.41	$351.51