Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.71 / $2,004.00 / $7,680.78	Facility		$186.71	$2,004.00	$7,680.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $162.91 / $299.52	Professional		$106.45	$162.91	$299.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.29 / $163.18 / $238.92	Professional		$113.29	$163.18	$238.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $133.43 / $3,026.00	Professional		$133.43	$133.43	$3,026.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.93 / $199.93 / $199.93	Facility		$199.93	$199.93	$199.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.48 / $173.40 / $310.57	Professional		$121.48	$173.40	$310.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.51 / $198.65 / $236.49	Professional		$177.51	$198.65	$236.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $158.68 / $232.79	Facility		$109.87	$158.68	$232.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $191.00 / $221.00 / $323.00	Professional		$191.00	$221.00	$323.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $113.96 / $154.24 / $3,123.00	Facility		$113.96	$154.24	$3,123.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $145.24 / $207.50 / $3,123.00	Professional		$145.24	$207.50	$3,123.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.41 / $169.80 / $301.49	Professional		$121.41	$169.80	$301.49